Use of allogenous bone graft and osteosynthetic stabilization in treatment of massive post-sternotomy defects

Thoracic stabilization using transverse plate fixation represents a modern and safe method of sternal dehiscence treatment. However, it still remains difficult to apply in cases of massive loss of bone tissue of the chest wall. An unsatisfactory stability of thorax often results in severe respirator...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2012-06, Vol.41 (6), p.e182-e184
Main Authors: Kalab, Martin, Molitor, Martin, Kubesova, Barbara, Lonsky, Vladimir
Format: Article
Language:English
Subjects:
Bone Plates
Bone Transplantation - methods
Humans
Male
Middle Aged
Ribs - surgery
Sternotomy - adverse effects
Sternum - surgery
Surgical Flaps
Surgical Wound Dehiscence - surgery
Thoracic Wall - surgery
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Summary:Thoracic stabilization using transverse plate fixation represents a modern and safe method of sternal dehiscence treatment. However, it still remains difficult to apply in cases of massive loss of bone tissue of the chest wall. An unsatisfactory stability of thorax often results in severe respiratory insufficiency, and also affects healing of soft tissue closure while increasing the risk of development of chronic fistulas and other dehiscences. In the reported case, we opted for a unique treatment of massive post-sternotomy defect using an allogenous bone graft of calva. Transverse titanium plates were applied to achieve stabilization of bone grafts and chest wall.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezs077