sternal non-union is a severe complication of sternotomy closure following open heart surgeries. healing problems typically occur in 0.3% to 5% of patients. technetium-99m methylene diphosphonate (99mtc-mdp) bone scintigraphy has been used to assess bone nonunion to predict the healing response for proper management.  in this report, we present the case of a marked sternal nonunion following...

Sternal non-union is a severe complication of sternotomy closure following open heart surgeries. Healing problems typically occur in 0.3% to 5% of patients. Technetium-99m methylene diphosphonate (99mTc-MDP) bone scintigraphy has been used to assess bone nonunion to predict the healing response for proper management.  In this report, we present the case of a marked sternal nonunio...

OBJECTIVES Various comparative studies and techniques have been described for median sternotomy closure in the literature, previously. However, some patients are still under risk of sternal dehiscence, malunion or nonunion due to intrinsic or extrinsic factors after median sternotomy closure. Sternal nonunion described as sternal pain, with clicking, instability, or both for more than 3 months ...

Transverse sternal nonunion, repair and revision: a case report and review of the literature. J Trauma. 2009;66:1485–8. 3. Potaris K, Gakidis J, Mihos P, Voutsinas V, Deligeorgis A, Petsinis V. Management of sternal fractures: 239 cases. Asian Cardiovasc Thorac Ann. 2002;10:145–9. 4. Morgan A. Treatment of chronic nonunion of a sternal fracture with bone morphogenetic protein. Ann Thorac Surg. ...

BACKGROUND This study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion. METHODS From January 2010 to December 2014, 64 patients with sternal fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People's Hospital. Pain severity scale scores were analyzed p...

A 54-year-old man with multiple comorbidities including wheelchair use secondary to a left below knee amputation, underwent a 2-vessel coronary artery bypass graft surgery and subsequently developed a noninfected sternal nonunion (Fig 1). Subsequent sternal reconstruction was necessary and entailed an innovative approach given the patient’s need for pectoralis major muscle function for transfer...

PURPOSE The surgical management of the patients with traumatic sternal fractures remains controversial. The aim of this study was to evaluate the effectiveness of an early surgical reconstruction of a displaced sternal fracture utilizing longitudinal rigid polymer fixation in the settings of an acute chest trauma. METHODS To perform the sternal fixation, we utilized a longitudinal rigid plati...

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...