Transverse sternal plating in secondary sternal reconstruction

摘要: Objectives Sternal instability after cardiac surgery occurs infrequently but can be challenging to manage. The most common treatment of mechanical sternal is operative rewiring. Transverse rib-to-rib stabilization with titanium plates designed for fixation a recent option. We evaluated the clinical utility transverse plating system in cardiothoracic practice. Methods retrospectively reviewed our experience using Synthes plate (Synthes CMF, Paoli, Pa) from June 2004 2007. Results There were 15 reconstruction procedures performed 14 patients plates. One patient required reoperation fracture. Indications chronic dehiscence 9 procedures, acute 3 previous mediastinitis and sternectomy 2 fracture 1 procedure. initial operation was isolated coronary artery bypass all patients. mean age 59 years (range, 51–68 years), men, 12 had body mass index greater than 30 kg/m 22–40 ), diabetic, 8 active smokers, 7 obstructive pulmonary disease. follow-up period 15.5 months 3–33 months). All achieved stability minimal postoperative pain. Complications included infection requiring explantation patient, seroma formation patient. Conclusion successfully cases valuable complex reconstructions. an effective alternative wire closure sternum fractures, instability, or poor bone quality.