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Effectiveness of Various Sternal Closure Devices Post Adult Cardiac Surgery.
Heart Lung Circ
January 2025
Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Melbourne, Vic, Australia.
Background & Aim: Sternotomy remains a commonly used technique to access the heart for cardiac surgery worldwide. To date, there is no clear consensus on the single superior sternal closure technique. Patient-specific factors such as osteoporosis, diabetes, old age, body habitus influence a surgeon's choice in this matter as do techniques commonly used during the training period and used in the current workplace.
View Article and Find Full Text PDFRib and Sternum Nonunions: Diagnosis and Treatment and Awareness of Other Potential Posttraumatic Pathology.
J Orthop Trauma
December 2024
Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN.
As the operative management of acute, chest wall, skeletal injury escalates throughout the world, it has become commonplace for patients with posttraumatic conditions to present with clinical reconstructive challenges as well. In addition, it is becoming clear that rib nonunions are not rare, likely more than 5% of rib fractures. No subspecialty is better equipped to address such painful conditions than orthopaedic surgery.
View Article and Find Full Text PDFInvestigation of the safety of position-based titanium plate fixation for costal cartilage injuries.
World J Surg
December 2024
Department of Cardiothoracic Surgery, The Third Hospital of Shijiazhuang City, Shijiazhuang, China.
Background: Costal cartilage injuries are unappreciated, and there is a paucity of reports on fixation methods. This study aims to evaluate the safety of titanium plate internal fixation for costal cartilage injuries.
Methods: A retrospective analysis was conducted on 30 patients with costal cartilage injuries who underwent titanium plate internal fixation between April 2016 and November 2022 at our hospital.
Expansion bone allografts for anterior chest wall reconstruction after persistent sternal nonunion.
JTCVS Tech
October 2024
Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Ariz.
Article Synopsis
- - Sternal non-union is a uncommon but significant issue that can affect patients both physically and aesthetically, with increasing clarity around when to opt for surgery after conservative treatments fail.
- - The article presents two cases of young patients who experienced chronic pain due to sternal non-union, one from repetitive stress and the other following a motorbike accident.
- - It discusses their management using a specific surgical technique (locking compression plate fixation), and reviews current treatment options, including advancements in sternal plating and innovative therapies, highlighting that such injuries may become more common with better imaging technology.
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