Original articleGeneral thoracicMid-Term Results After Sternal Reconstruction Using Titanium Plates: Is It Worth It to Plate?
Section snippets
Synthes TSFS
The system consists of titanium unilock screws and different locking plates (eg, sternal body plates, star-shaped, H-shaped plates, straight plates). Depending on the sternal fracture line, we used the TSFS in a transverse (n = 21) or a longitudinal (n = 13) orientation. Sternal H-shaped, angle-shaped, or star-shaped plates (sternal body plates) were used to treat a separation of the manubrium or the xiphoid (n = 4) (Fig 1A).
In situations of complete sternal dehiscence, different sternal body
Results
Between 2005 and 2011, a total of 34 patients (mean age, 64 ± 11 years, 26 men) with complicated sternal dehiscence underwent sternal refixation with the use of the TSFS at the German Heart Centre Munich. Prior sternotomy had been performed for coronary artery bypass grafting (CABG; n = 15), CABG and concomitant valve procedures (n = 5), aortic or mitral valve operation (n = 11), and others (n = 3). The initial heart operation was performed 8 to 2,373 days (median, 99 days) before sternal plate
Comment
Previously, the superiority of mechanical stabilization of sternal plate ostesynthesis over sternal wire fixation has been demonstrated in animal studies 16, 17. From the hypothesis that increased stability may facilitate the recovery of high-risk patients undergoing cardiac operation, the adoption of rigid fixation gained importance as an effective method for sternal re-stabilization 8, 9, 11, 13. One of the most widely used systems for the treatment of complicated sternal dehiscence is the
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