Title

Rigid fixation of the sternum using a new coupled titanium transverse plate fixation system.

Publication/Presentation Date

6-1-2007

Abstract

Restoration of sternal integrity after median sternotomy for cardiac interventions better ensures optimal postoperative pulmonary function and minimizes overall morbidity. Sternal dehiscence or nonunion mitigates against such a successful outcome. Under such circumstances, if enough viable and uninfected sternum remains, an anatomic reduction should be attempted. Rewiring usually proves unsuccessful, and rigid plate fixation is more rewarding. A new titanium sternal fixation system that permits transverse orientation of plates has been used in 4 patients who had sterile complete or imminent sternal dehiscence to allow eventual sternal union. The specific advantage of this new system is the presence of a releasing pin in the center of coupled plates to allow rapid chest reentry if required without the specific need for cumbersome plate removal. One patient had delayed removal of an infected plate after sternal union was achieved.

Volume

58

Issue

6

First Page

640

Last Page

644

ISSN

0148-7043

Disciplines

Medicine and Health Sciences

PubMedID

17522487

Department(s)

Department of Surgery

Document Type

Article

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