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Ann Thorac Surg 2009;87:1304-1306. doi:10.1016/j.athoracsur.2008.08.046
© 2009 The Society of Thoracic Surgeons
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Bernhard Voss
Robert Bauernschmitt
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How To Do It

Complicated Sternal Dehiscence: Reconstruction With Plates, Cables, and Cannulated Screws

Bernhard Voss, MDa,*, Robert Bauernschmitt, MDa, Gernot Brockmann, MDa, Markus Krane, MDa, Albrecht Will, MDb, Rüdiger Lange, MDa

a Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universität München, Munich, Germany
b Department of Radiology, German Heart Center Munich, Technische Universität München, Munich, Germany

Accepted for publication August 18, 2008.

* Address correspondence to Dr Voss, Deutsches Herzzentrum München, Technische Universität München, Lazarettstraße 36, Munich, 80636, Germany (Email: voss{at}dhm.mhn.de).

Sternal dehiscence after median sternotomy can be a challenging problem in case of multiple fractures or infection. For sternal refixation, the principles of rigid plate and screw osteosynthesis gained from orthopedic surgery have been recommended by several authors. We present a new system for sternal reconstruction consisting of reconstruction plates, steel cables, and cannulated screws.






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Copyright © 2009 by The Society of Thoracic Surgeons.