Publication
Title
Titanium transverse plate fixation: a new solution for old sternal problems
Author
Abstract
Objective : To evaluate our initial results with the titanium transverse plate fixation system of the sternum in four patients. Methods : 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. Results : All four patients heated without complications. The mean postoperative length of stay was 17,3 days (range 744). 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. Conclusions : 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.
Language
English
Source (journal)
Acta chirurgica Belgica. - Brussel, 1946 - 1996
Publication
Brussel : 2009
ISSN
0001-5458
Volume/pages
109:3(2009), p. 371-375
ISI
000270191900018
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 05.01.2010
Last edited 17.09.2017
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