Sternal dehiscence is a recognised complication after median sternotomy, occurring in 0.5-5% of cases with or without infection. A 72-year-old man presenting with collapse and ventricular tachycardia was investigated for a possible acute cardiac event 2 years after coronary artery bypass grafting for ischemic heart disease. Work-up chest X-ray showed displacement of all sternal wires, and compu...

Median sternotomy can be associated with significant morbidity, including non-union, dehiscence and mediastinitis. The use of flexible thermoreactive sternal clips has been introduced recently as an alternative method of sternal closure and is advocated in patients at increased risk of sternal breakdown. It is associated with a decreased incidence of sternal complications as well as allowing fa...

BACKGROUND Sternal instability with mediastinitis is a very serious complication after median sternotomy. Biomechanical studies have suggested superiority of rigid plate fixation over wire cerclage for sternal fixation. This study tests the hypothesis that sternal closure stability can be improved by adding plate fixation in a human cadaver model. METHODS Midline sternotomy was performed in 1...

Background: Rib osteomyelitis is a very rare form of pediatric osteomyelitis. Case report: Herein, we reported a very rare case of chest wall abscess with rib osteomyelitis and rib destruction due to Staphylococcus aureus infection in a 14-day-old preterm male neonate. The diagnosis of this uncommon disease requires a high index of suspicion due to its rarity and non-specific clinical presenta...

2.1 Summary ............................................... 5 2.2 Definition .............................................. 6 2.3 History ................................................... 6 2.4 Overview of Currently Used Classification Systems and Terminology 7 2.5 Currently Used Terms in Classification of Osteomyelitis of the Jaws .................. 11 2.5.1 Acute/Subacute Osteomyelitis .......

OBJECTIVE Sternal bleeding during cardiac surgery is currently controlled using bone wax or other chemical substances that may result in adverse effects and affect wound healing and recovery. The purpose of this study was to identify a safe, cost-effective, and easy-to-use technique to reduce sternal bleeding and sternal trauma during cardiac surgery. METHODS After sternotomy, a sternal prote...

background brucellosis is a systemic bacterial disease transmitted from animals to humans and involves many organs and tissues. symptoms of brucellosis are protean and can be similar to many other infectious diseases. none of the symptoms are specific enough to support the clinical diagnosis. the musculoskeletal system is one of the most commonly affected organs. disease can be present with bur...

clindamycin is a lincosamide antibiotic which is approved for the treatment of anaerobic, streptococcal and staphylococcal infections. there has been an increased interest in the use of clindamycin since it achieves high intracellular levels in phagocytic cells, high levels in bone and appears to have an antitoxin effect against the toxin elaborating strains of streptococci and staphylococci. c...