title: Use of allogenous bone graft and osteosynthetic stabilization in treatment of massive post-sternotomy defects.
abstract: Thoracic stabilization using transverse plate fixation represents a modern and safe method of sternal dehiscence treatment. However, it still remains difficult to apply in cases of massive loss of bone tissue of the chest wall. An unsatisfactory stability of thorax often results in severe respiratory insufficiency, and also affects healing of soft tissue closure while increasing the risk of development of chronic fistulas and other dehiscences. In the reported case, we opted for a unique treatment of massive post-sternotomy defect using an allogenous bone graft of calva. Transverse titanium plates were applied to achieve stabilization of bone grafts and chest wall.
authors.affiliation: Department of Cardiac Surgery, University Hospital and Faculty of Medicine, Palacky University, Olomouc, Czech Republic. martin.kalab@email.cz
authors.forename: Martin
authors.initials: M
authors.lastname: Kalab
authors.forename: Martin
authors.initials: M
authors.lastname: Molitor
authors.forename: Barbara
authors.initials: B
authors.lastname: Kubesova
authors.forename: Vladimir
authors.initials: V
authors.lastname: Lonsky
mesh_terms: D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012272:Ribs / Q000601:surgery; D056346:Sternotomy / Q000009:adverse effects*; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D035441:Thoracic Wall / Q000601:surgery