title: Titanium transverse plate fixation: a new solution for old sternal problems.
abstract: OBJECTIVE
  To evaluate our initial results with the titanium transverse plate fixation system of the sternum in four patients.
  
  
  METHODS
  Two patients with late dehiscence and persistent instability of the sternum after cardiac surgery were treated with refixation by titanium transverse plates and screws. Two patients were treated with the same refixation method after pre-treatment with debridement, antibiotic therapy and vacuum-assisted closure therapy for extensive mediastinitis.
  
  
  RESULTS
  All four patients healed without complications. The mean postoperative length of stay was 17,3 days (range 7-44). The instability and/or pain disappeared in all patients. The postoperative imaging showed good positioning of the osteosynthesis material. There was no re-infection in patients with mediastinitis.
  
  
  CONCLUSIONS
  The titanium transverse plate fixation system is a very promising adjunct to the armamentarium of the cardio-thoracic surgeon for treatment of sternal problems, including dehiscence and fractures, even when mediastinitis is involved. It offers more stability compared to simple rewiring, without the need for extensive retrosternal dissection.
authors: Department of Cardiac Surgery, Antwerp University Hospital, Edegem, Belgium.
authors: K
authors: K
authors: Moerenhout
authors: I
authors: I
authors: Rodrigus
authors: D
authors: D
authors: De Bock
authors: W
authors: W
authors: Vergauwen
authors: B
authors: B
authors: Stockman
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D003646:Debridement / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D013249:Sternum / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*; D014025:Titanium
chemical_list: D014025:Titanium