A 49-year-old man with a 15-year-old nonunion of a midshaft clavicle fracture suffered from progressive tingling in his entire arm and fingers for two years, due to irritation of the brachial plexus in the costoclavicular space, especially upon elevation of the arm. After open reduction and internal plate fixation, all symptoms were resolved and complete consolidation of the fracture was achiev...

OBJECTIVE We sought to assess the efficiency of two different sternal closure techniques in preventing sternal wound instability in high-risk patients. MATERIALS AND METHODS Between January 2009 and February 2012, 2068 consecutive cardiac patients were prospectively collected in our database. The 561 patients in whom the thermoreactive nitilium clips (Flexigrip) have been used (group A) were ...

BACKGROUND Sternal wound infection is a devastating complication of cardiothoracic surgery that carries high postoperative morbidity and mortality rates. We explored whether our current program of extensive bacteriological examination including repeat blood cultures may contribute to the early diagnosis of sternal wound infection. METHODS We retrospectively analyzed 112 patients who were subj...

Different ways to stabilize a sternal fracture are described in literature. Respecting different mechanisms of trauma such as the direct impact to the anterior chest wall or the flexion-compression injury of the trunk, there is a need to retain each sternal fragment in the correct position while neutralizing shearing forces to the sternum. Anterior sternal plating provides the best stability an...

Desmoid tumors are rare soft tissue tumors derived from fascia and connective tissue of the muscular layers. The abdominal region is the most frequent site of involvement, whereas involvement of sternal manubrium is rare. We report the case of a rare desmoid tumor in the sternal manubrium mimicking radiological and metabolic features of malignant tumor, which was successfully treated by sternal...

Background Sternal fracture is uncommon injury following blunt chest trauma. They are usually caused by direct blunt trauma to the sternum, or most frequently car accident, including steering wheel direct blunt trauma to the sternum. Sternal fracture should be regarded as a hallmark of severe multiple injuries until proven otherwise. The purpose of this study was to describe general features co...

1 of 2 DESCRIPTION The incidence of mediastinal wound infection in patients undergoing open heart surgery can be up to 4%. 1 A subgroup of 20–30% of those patients as per El Oakley and Wright 2 develops deep sternal infections. Radical debridement is of a paramount importance, therefore sternal excision becomes a necessity in cases with severe sternal osteomyelitis. Under those circumstances va...

Triple pelvic osteotomy is an accepted technique to correct acetabular dysplasia and degenerative labral pathology in young adults. Few papers mentioned the rate of nonunion at site of osteotomy of pubic bone and ischeal bone. No report about nonunion at site of osteotomy of iliac bone (up to the author's knowledge). Here the author reported a case of triple pelvic osteotomy which is complicate...

Background: Non-union in femur shaft after satisfactory treatment with closed intramedullary interlocking nail is not very common. This nonunion always a challenging condition for surgeon. These are usually treated by dynamization, close exchange larger diameter, retention of and onlay bone graft, removal fixed plates application cast brace sometimes applications external fixators. But no is’ g...

Background: Despite the multitude of studies on non union no clear criterion has been established for declaring a fracture as united. A diagnosis is unjustified, however, until clinical or radiographic evidence shows that healing ceased and highly improbable. shaft long bone should not be considered at least 6 months after injury. The incidence in varies with each methods treating acute ...