title: New transverse plate fixation system for complicated sternal wound infection after median sternotomy.
abstract: 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.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland. andreplass@aol.com
authors.forename: Andre
authors.initials: A
authors.lastname: Plass
authors.forename: Jürg
authors.initials: J
authors.lastname: Grünenfelder
authors.forename: Oliver
authors.initials: O
authors.lastname: Reuthebuch
authors.forename: Robert
authors.initials: R
authors.lastname: Vachenauer
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Gauer
authors.forename: Gregor
authors.initials: G
authors.lastname: Zünd
authors.forename: Michele
authors.initials: M
authors.lastname: Genoni
mesh_terms: D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D001026:Coronary Artery Bypass / Q000009:adverse effects; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D013249:Sternum / Q000000981:diagnostic imaging / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery*; D014025:Titanium
chemical_list: D014025:Titanium