TY - JOUR
T1 - Experience of sternal secondary closure by means of a titanium fixation system after transverse thoracosternotomy
AU - Motomura, Tadashi
AU - Bruckner, Brian A.
AU - La Francesca, Saverio
AU - Mittelhaus, Sebastian
AU - Chike-Obi, Chuma
AU - Leon-Becerril, Joel
AU - Ngo, Uy
AU - Loebe, Matthias
N1 - Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2011/8
Y1 - 2011/8
N2 - Sternal dehiscence is a common complication after transverse thoracosternotomy in patients undergoing bilateral sequential lung transplantation (BSLT). These patients can be treated with conservative therapy, but severe dehiscence requires surgical reapproximation and secondary closure of the sternum. Seventy-one cases of patients who underwent BSLT between January 2007 and May 2009 were reviewed retrospectively. Out of 71 patients, the sternum was intact in two cases due to the use of bilateral anterolateral thoracotomy, and a clamshell incision had been utilized in 69 patients. Four patients (6.8%) presented with persistent chest pain with severe sternal dehiscence diagnosed by chest X-ray and/or chest computed tomography, and underwent sternal reapproximation using the Synthes Titanium Sternal Fixation System for longitudinal sternal plating. All four patients had successful sternal realignment and resolution of their preoperative clinical symptoms. No perioperative or postoperative complications were observed. The Synthes Titanium Sternal Fixation System is an appropriate and effective method for internal fixation of the sternum when used for symptomatic severe sternal dehiscence after sequential BSLT via transverse thoracosternotomy.
AB - Sternal dehiscence is a common complication after transverse thoracosternotomy in patients undergoing bilateral sequential lung transplantation (BSLT). These patients can be treated with conservative therapy, but severe dehiscence requires surgical reapproximation and secondary closure of the sternum. Seventy-one cases of patients who underwent BSLT between January 2007 and May 2009 were reviewed retrospectively. Out of 71 patients, the sternum was intact in two cases due to the use of bilateral anterolateral thoracotomy, and a clamshell incision had been utilized in 69 patients. Four patients (6.8%) presented with persistent chest pain with severe sternal dehiscence diagnosed by chest X-ray and/or chest computed tomography, and underwent sternal reapproximation using the Synthes Titanium Sternal Fixation System for longitudinal sternal plating. All four patients had successful sternal realignment and resolution of their preoperative clinical symptoms. No perioperative or postoperative complications were observed. The Synthes Titanium Sternal Fixation System is an appropriate and effective method for internal fixation of the sternum when used for symptomatic severe sternal dehiscence after sequential BSLT via transverse thoracosternotomy.
KW - Bilateral lung transplantation
KW - Clamshell incision
KW - Sternal malunion
KW - Sternal reconstruction
KW - Transverse thoracosternotomy
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U2 - 10.1111/j.1525-1594.2011.01295.x
DO - 10.1111/j.1525-1594.2011.01295.x
M3 - Article
C2 - 21790677
AN - SCOPUS:80051673331
SN - 0160-564X
VL - 35
SP - E168-E173
JO - Artificial Organs
JF - Artificial Organs
IS - 8
ER -