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James W. Frederiksen
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Lawrence L. Michaelis
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Ann Thorac Surg 1985;40:69-72
© 1985 The Society of Thoracic Surgeons


Articles

Management of Chronic Sternal Osteomyelitis

Peter Johnson, M.D., James W. Frederiksen, M.D.*, John H. Sanders, M.D., Victor Lewis, M.D., Lawrence L. Michaelis, M.D.

Department of Surgery, Division of Cardiothoracic Surgery, Northwestern University Medical School, Chicago, IL

Accepted for publication July 26, 1984.

* Address reprint requests to Dr. Frederiksen, 303 E Chicago Ave, Ward Bldg 9–105, Chicago, IL 60611

The management of 2 patients in whom chronic sternal osteomyelitis developed after apparently uncomplicated coronary artery bypass operations is described. Each patient had become totally disabled because of chronic, draining sinus tracts. Eradication of the infection required total sternectomy and excision of all infected costal cartilage. Subsequent reconstruction was accomplished by using bilateral pectoralis major myocutaneous advancement flaps without any maneuvers to stabilize the anterior chest wall. Both patients have resumed full activity and have returned to work with only minimal residual compromise of pulmonary function.




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