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 |