Titanium transverse plate fixation: a new solution for old sternal problems.

Details

Serval ID
serval:BIB_8E0D42A7179A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Titanium transverse plate fixation: a new solution for old sternal problems.
Journal
Acta chirurgica Belgica
Author(s)
Moerenhout Kevin, Rodrigus I., De Bock D., Vergauwen W., Stockman B.
ISSN
0001-5458 (Print)
ISSN-L
0001-5458
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
109
Number
3
Pages
371-375
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
To evaluate our initial results with the titanium transverse plate fixation system of the sternum in four patients.
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.
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.
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.
Keywords
Adult, Aged, Bone Plates, Bone Screws, Debridement/methods, Follow-Up Studies, Humans, Length of Stay, Male, Middle Aged, Prosthesis Design, Sternum/surgery, Surgical Wound Dehiscence/surgery, Thoracic Surgical Procedures/adverse effects, Titanium
Pubmed
Web of science
Create date
14/02/2019 14:08
Last modification date
20/08/2019 15:52
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