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10.5606/tgkdc.dergisi.2013.6962
Longitudinal plate fixation technique after gross resection of the sternum or multiple sternal fracture
İrfan Taşoğlu, Doğan Emre Sert, Ata Niyazi Ecevit, Kemal Kavasoğlu, Ümit Kervan, Tulga Ulus, Mustafa Paç
Department of Cardiovascular Surgery, Ankara Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.6962
In this article, we described an alternative way for
complicated sternal closure by using a longitudinal plate
fixation technique. A retrospective analysis between
January 2008 and September 2011 was performed on
patients who received primary longitudinal rigid plate
fixation after sternotomy. Seven patients (3 males, 4
females; mean age 64.4±14.3 years; range 30 to 74 years)
with multiple sternal fractures or near-total loss after
sternal debridement were defined as having high-risk for
sternal dehiscence. We performed 10 longitudinally sternal
plate refixation in these patients with sternal nonunion.
Two patients (29%) had near-total sternal loss, while five
patients (71%) had multiple sternal fractures. The patients
suffering from sternal instability were operated using the
titanium plates and steel wires for the anterior chest wall.
Postoperative chest pain disappeared in all patients with
only minor discomfort in the long-term. Longitudinal
sternal plating and steel wires are an effective option for
the treatment in patients with near-total sternal loss and
multiple sternal fractures. This technique which is easy to
use seems to be associated with fewer complications.
Keywords : Dehiscence; fixation; plate; sternum
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