İzole Sternum Fraktürlü Hastaların Demografik ve Klinik Özellikleri: Retrospektif Bir Çalışma

Abstract

Amaç: İzole sternum kırıkları, göğüs travmalarının nadir fakat önemli bir alt grubunu oluşturur. Bu çalışma, izole sternum kırığı olan hastalarda demografik ve klinik özellikleri, travma mekanizmalarını, kırık lokalizasyonlarını ve tedavi sonuçlarını değerlendirmeyi amaçlamaktadır. Materyal ve Metot: Ocak 2013- Kasım 2023 tarihleri arasında izole sternum kırığı tanısıyla takip edilen 151 hastanın verileri retrospektif olarak incelendi. Hastalar; yaş, cinsiyet, travma nedeni, kırık lokalizasyonu, tedavi şekli ve klinik seyir açısından değerlendirildi. Kırıklar üç anatomik bölgeye göre, travma mekanizmaları ise beş gruba ayrılarak sınıflandırıldı. Veriler SPSS 23.0 programı ile analiz edildi. Bulgular: Hastaların %71,5’i erkekti ve yaş ortalaması 51,5±18,3 yıldı. En sık travma nedeni motorlu taşıt kazalarıydı (%74,2). En yaygın kırık lokalizasyonu korpus sterniydi (%48,3). Tüm hastalar konservatif olarak tedavi edildi, mortalite ve ciddi kardiyak komplikasyon gelişmedi. Ortalama yatış süresi 3,24±1,15 gün olarak bulundu. Sonuç: Elde edilen bulgular, izole sternum kırıklarının genellikle stabil seyirli olduğunu ve konservatif tedavi ile etkili biçimde yönetilebildiğini ortaya koymaktadır

Keywords

• Sternum fraktürü
• Göğüs travması
• izole yaralanma
• Konservatif tedavi

Demographic and Clinical Characteristics of Patients with Isolated Sternal Fractures: A Retrospective Study

Abstract

Objective: Isolated sternal fractures represent a rare yet clinically significant subgroup of chest trauma. This study aimed to evaluate the demographic and clinical characteristics, trauma mechanisms, fracture localizations, and treatment outcomes of patients with isolated sternal fractures. Materials and Methods: A retrospective analysis was conducted on 151 patients diagnosed with isolated sternal fractures and treated between January 2013 and November 2023. Patients were assessed based on age, gender, mechanism of injury, fracture localization, treatment method, and clinical course. Fractures were classified into three anatomical regions, and trauma mechanisms were categorized into five groups. Data were analyzed using SPSS version 23.0. Results: Of the patients, 71.5% were male, and the mean age was 51.5±18.3 years. The most common cause of trauma was motor vehicle accidents (74.2%). The most frequently affected fracture site was the corpus sterni (48.3%). All patients were managed conservatively, and no mortality or significant cardiac complications were observed. The mean length of hospital stay was 3.24±1.15 days. Conclusion: These findings suggest that isolated sternal fractures typically follow a stable clinical course and can be effectively managed with conservative treatment.

Keywords

• sternum fracture
• Chest Trauma
• Isolated injury
• conservative manegement

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