Surgical treatment of complicated sternal non-union using multiperforated titanium plates

Ömer Faruk Doğan

Department of Cardiovascular Surgery, Adana Numune Training and Research Hospital, Adana

Background: In this study, we present a different surgical technique for correction of sternal non-union with the use of titanium plates and screws in eight coronary artery bypass grafting (CABG) patients.

Methods: The Leibinger® titanium multiperforated titanium plate and screw system described for craniofacial fixation was used together with steel wires for re-correction and fixation of sternal non-union in eight CABG patients (5 males, 3 females; mean age 76.4 years; range 67 to 84 years).

Results: Sternal stability and fixation were achieved successfully in all cases. No complications were seen at two years clinical follow-up.

Conclusion: Sternal non-union and dehiscence is a severe complication that causes prolonged hospitalization and increased mortality and morbidity if the patient is not treated. Our surgical approach can be used for surgical treatment of complicated sternal non-union.

Keywords : Sternal fracture; sternal nonunion; surgical wire; titanium plate

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