Sternal plate fixation for sternal wound reconstruction: initial experience (Retrospective study)

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Sternal plate fixation for sternal wound reconstruction: initial experience (Retrospective study)

BACKGROUND Median sternotomy infection and bony nonunion are two commonly described complications which occur in 0.4-5.1% of cardiac procedures. Although relatively infrequent, these complications can lead to significant morbidity and mortality. The aim of this retrospective study is to evaluate the initial experience of a transverse plate fixation system following wound complications associate...

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The laparoscopically harvested omental flap and transverse plate fixation for sternal reconstruction in complicated sternal wound infection after cardiac surgery

Methods Between 2010 and 2011, 6 patients with type IV deep sternal wound infection underwent a sternal reconstruction with a laparoscopically harvested omental flap and transverse plate fixation. The median age of the cohort (1 female and 5 males), was 72.5 years (range: 4978 years). In 5 patients, a bilateral internal thoracic artery had been used. Considerable preoperative risk factors were ...

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Bilateral pectoralis advancement flaps and transverse plate fixation system for sternal reconstruction in the complicated sternal wound

Methods Between 2008 and 2012, 24 patients with a complicated sternal wound underwent a sternal reconstruction with bilateral pectoralis advancement flaps and a transverse plate fixation system. The median age of the cohort (4 female and 20 males), was 65.8 years (range: 33-83 years). In 19 patients, a bilateral internal thoracic artery had been used. Considerable preoperative risk factors were...

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Sternal reentry in a patient with previous deep sternal wound infection managed with horizontal titanium plate fixation

Redo open-heart surgery and sternal reentry in patients with previous deep sternal wound infection (DSWI) and absence of sternal integrity can be a delicate and morbid task due the lack of a dissection plane between the heart and the surrounding soft tissues. Delayed sternal reconstruction and osteosynthesis with horizontal titanium plating fixation (Synthes) following vacuum assisted therapy (...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic Surgery

سال: 2011

ISSN: 1749-8090

DOI: 10.1186/1749-8090-6-63