Multidimensional sternal fixation to overcome a "floating" sternum.
This case report describes the repair of a complete sternal dehiscence of the lower right sternum using sternal wires, manubrial plates, and a Talon closure device for rigid, multidimensional sternal fixation. Sternal dehiscence is a rare but significant cause of morbidity for patients undergoing median sternotomy. The risk factors for this complication are well described and although sternal wires have traditionally been used for primary closure, rigid fixation with sternal plates is a viable alternative to avoid dehiscence in this high-risk cohort.
Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA.
William
W
Rothstein
Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA.
Tyler
T
Spata
Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA ; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA.
Bryan
0000-0003-0040-3638
B
Whitson
Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA ; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA.
Ahmet
0000-0002-2365-3093
A
Kilic