Use of titanium plate fixation system in late sternal dehiscence repair
نویسندگان
چکیده
Sternal instability with mediastinitis is a very serious complication after median sternotomy. Sternal dehiscence repair together with debridement of the infected tissue is the mainstay of therapy where various modalities are employed. Here, we report the use of titanium plate for sternum stabilization in a patient with sternal dehiscence and superficial wound infection.
منابع مشابه
Titanium Plate Fixation for Sternal Dehiscence in Major Cardiac Surgery
BACKGROUND Sternal dehiscence is one of the most troublesome complications following cardiac surgery. Treatment failure and consequent lethal outcomes are very common. The aim of this study was to evaluate titanium plate fixation as a treatment for sternal dehiscence following major cardiac surgery. MATERIALS AND METHODS Between 2010 and 2012, 17 patients underwent sternal reconstruction usin...
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OBJECTIVE Sternal dehiscence after median sternotomy can be a challenging problem in case of multiple fractures or infection. The use of titanium plates is a promising approach for sternal reconstruction. METHODS Titanium plate fixation was used in 15 patients (67+/-5.9 years, 171+/-8.2 cm, 93.6+/-14.9 kg, body mass index 32+/-5 kg/m(2)) with unstable thorax after failed attempts of sternal c...
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Sternal dehiscence is one of the most troublesome complications following cardiac surgery. Treatment failure and consequent lethal results are very common, even with all the efforts to resolve sternal dehiscence such as removal of infectious tissue, muscle flap interposition, and sternal rewiring. We report on a case of sternal osteomyelitis following coronary artery bypass grafting that was su...
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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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OBJECTIVES Various methods for sternal approximation have been described previously. Some patients undergoing these procedures are at risk for sternal dehiscence and mediastinitis. We used a different method, with a suture anchor system, for median sternotomy closure as an alternate technique in patients with a high risk of postoperative sternal dehiscence and sternal nonunion. MATERIAL AND M...
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