Postoperative transverse sternal nonunion with a chest wall defect managed by a tibial locking plate and a Gore-Tex dual mesh membrane: a case report
| Autor: | Boris Podobnik, Tomaz Stupnik, Jurij Matija Kalisnik, Tomaz Malovrh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Pulmonary and Respiratory Medicine medicine.medical_specialty Sternum Materials science RD1-811 Nonunion Case Report Locking plate Anesthesiology medicine Humans RD78.3-87.3 Sternal nonunion Thoracic Wall Polytetrafluoroethylene Clamshell incision General Medicine Plate fixation Surgical Mesh medicine.disease equipment and supplies musculoskeletal system Dual mesh Surgery Transverse plane surgical procedures operative Transverse thoracosternotomy Chest wall reconstruction Cardiology and Cardiovascular Medicine Bone Plates |
| Zdroj: | Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-5 (2021) Journal of Cardiothoracic Surgery |
| ISSN: | 1749-8090 |
| Popis: | Background Transverse sternal nonunion is a rare but disabling complication of chest trauma or a transverse sternotomy. Fixation methods, mainly used to manage the more common longitudinal sternal nonunion, often fail, leaving the surgical treatment of transverse nonunion to be a challenge. Case presentation We present a case of a highly-disabling, postoperative chest wall defect resulting from transverse sternal nonunion after a transverse thoracosternotomy (clamshell incision) and a concomitant rib resection. Following unsuccessful surgical attempts, the sternal nonunion was fixed with a tibial locking plate and bone grafted, while the post-rib resection chest defect was reconstructed with a Gore-Tex dual mesh membrane. Adequate chest stability was achieved, enabling complete healing of the sternal nonunion and the patient’s complete recovery. Conclusion We believe it is important to address both in the rare case of combined postoperative transverse sternal nonunion and the chest wall defect after rib resection. A good outcome was achieved in our patient by fixing the nonunion with an appropriately sized and shaped locking plate with bone grafting and covering the chest defect with a dual mesh membrane. |
| Databáze: | OpenAIRE |
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