Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2023; 11(30): 7386-7392
Published online Oct 26, 2023. doi: 10.12998/wjcc.v11.i30.7386
Using shape-memory alloy staples to treat comminuted manubrium sterni fractures: A case report
Min Zhang, Wei Jiang, Ze-Xue Wang, Zhi-Ming Zhou
Min Zhang, Wei Jiang, Ze-Xue Wang, Zhi-Ming Zhou, Department of Thoracic Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang 110024, Liaoning Province, China
Author contributions: Zhang M wrote and revised the article, Wang ZX reviewed the medical records, Jiang W conducted the literature review and Zhou ZM revised the article; all authors have read and approved the final version to be submitted.
Supported by Shenyang Medical College Youth Scientific Research Fund, No. 20202027.
Informed consent statement: Informed written consent was obtained from the patient to publish this case report and accompanying images.
Conflict-of-interest statement: All the authors have no conflicts of interest relevant to this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Ming Zhou, MD, Professor, Department of Thoracic Surgery, Central Hospital Affiliated to Shenyang Medical College, No. 5 South Seventh West Road, Tiexi District, Shenyang 110024, Liaoning Province, China. thoracicsurgery123@163.com
Received: August 15, 2023
Peer-review started: August 15, 2023
First decision: September 13, 2023
Revised: September 22, 2023
Accepted: October 8, 2023
Article in press: October 8, 2023
Published online: October 26, 2023
Processing time: 70 Days and 18.9 Hours
Core Tip

Core Tip: Manubrium sterni fractures are rare. Plate osteosynthesis is usually used for unstable transverse and oblique fractures. However, the surgical approach for comminuted manubrium sterni fractures has yet to be reported in the literature. In this case, comminuted manubrium sterni fractures, manubriosternal joint dislocation, and a left first rib cartilage fracture co-occurred in the patient. A creative attempt was made to use shape-memory alloy staples for repositioning and primary fixation of the manubrium sterni fragments. A postoperative computed tomography scan showed reduced and rigid fixation of the comminuted manubrium sterni fractures. This successful attempt provides a new solution for comminuted manubrium sterni fractures.