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. 2025 Jun 27;51(1):234. doi: 10.1007/s00068-025-02910-x

Table 3.

Treatment recommendations for the proposed fracture classification of the corpus

Corpus fractures
Fracture type Treatment
A-fractures
A0-fractures conservative treatment, follow up examination (lateral x-ray in sitting position)
A1-fractures longitudinal (double) plating
A2-fractures longitudinal (double) plating
A3-fractures longitudinal (double) plating
B-fractures
B1-fractures transverse plates bridging the rib–sternum–rib axis or longitudinal plates (T-shaped)
B2-fractures transverse plates bridging the rib–sternum–rib axis or longitudinal (double) plating
B3-fractures transverse plates bridging the rib–sternum–rib axis or T-shaped plates
C-fractures
C1-fractures longitudinal (double) plating (consider from Manubrium to xiphoid)
C2-fractures C1 or (multiple) transverse plates bridging the rib–sternum–rib axis, or combination of both directions
C3-fractures C2 and additional combination of special plates (T-Plates, H-Plates, Ladder-plates etc.), to address multidirectional instability; consider lateral extensions to the adjacent ribs