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Ann Thorac Surg 1975;19:698-703
© 1975 The Society of Thoracic Surgeons

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Articles

Surgical Treatment of Primary Sternal Osteomyelitis

From the Department of Surgery, University of California, Irvine, School of Medicine, Irvine, Calif.

^* Address reprint requests to Dr. Gazzaniga, Department of Surgery, University of California, Irvine, School of Medicine, Irvine, Calif. 92668.

Four patients with primary sternal osteomyelitis are described. Pseudomonas aeruginosa was the infective organism. Three of the 4 were heroin addicts. Limited surgical resection with preservation of the posterior periosteum is recommended for an infected sternum. Postoperative antibiotic therapy for a period of six weeks is also recommended. Preservation of the posterior sternal periosteum rather than conventional radical excision is important for maintaining physical stability and avoiding chest wall deformity in this group of patients.

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