New Transverse Plate Fixation System for Complicated Sternal Wound Infection After Median Sternotomy

• Published in: The Annals of thoracic surgery Vol. 83; no. 3; pp. 1210 - 1212
• Main Authors: Plass, Andre, MD, Grünenfelder, Jürg, MD, Reuthebuch, Oliver, MD, Vachenauer, Robert, MD, Gauer, Jean-Marc, MD, Zünd, Gregor, MD, Genoni, Michele, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-03-2007; Elsevier Science
• Subjects: Aged; Biological and medical sciences; Bone Plates; Bone Screws; Cardiothoracic Surgery; Coronary Artery Bypass - adverse effects; Humans; Male; Medical sciences; Radiography, Thoracic; Sternum - diagnostic imaging; Sternum - surgery; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Surgery of the respiratory system; Surgical Wound Infection - etiology; Surgical Wound Infection - surgery; Titanium; 5; Infection; Sternotomy; Fixation; Treatment; Sternum; Respiratory disease; Surgery; Complication; Thorax; Wound; System; Plate
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2006.03.080

Wire fixation after median sternotomy is a safe procedure, but it is still associated with potential wound infection including bony dehiscence. In case of infection and dehiscence the sternum is re-fixated with steel wires. If this is insufficient, then flap reconstruction would be another option. We describe an alternative way for complicated sternal closure by using a rigid sternal fixation system that is feasible for cardiac surgeons. Three patients suffering from sternal instability and infection were operated on with the new titanium plates. The procedures were uneventful and short-term follow-up showed stable sternal conditions. In this report the technical concept has been described in detail in 1 patient. This new sternal fixation technique is safe and easy to handle and broadens the spectrum for closure of complicated sternal wound infections or dehiscence.