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Ann Thorac Surg 2002;73:1661-1662
© 2002 The Society of Thoracic Surgeons


How to do it

Repair of transverse sternal nonunions using metal plates and autogenous bone graft

Kim C. Bertin, MD*a, Robert S. Rice, BAb, Donald B. Doty, MDc, Kent W. Jones, MDc

a Department of Orthopedic Surgery, Salt Lake City, Utah, USA
b Department of Cardiac Surgery, Latter-Day Saints Hospital, Salt Lake City, Utah, USA
c Tulane University School of Medicine, New Orleans, Louisiana, USA

Accepted for publication December 28, 2001.

* Address reprint requests to Dr Bertin, Utah Bone and Joint Center, 2490 South State St, Suite 100, Salt Lake City, UT 84115 USA
e-mail: kbertin{at}utahhipandknee.com

Transverse sternal nonunion is a complication of sternal fracture or partial sternotomy, and requires surgical treatment. Three patients with repeated failure of standard sternal repair were treated with a technique using metal plates and autogenous bone graft, which resulted in bone union in all patients. Metal plating of the sternum, accompanied by autogenous bone graft, is an effective method of treating transverse sternal nonunion.




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