Lemos Alberto, Gallego Javier, Cravino J
Serviço de Cirurgia Cardio-Torácica do Hospital Santa Maria, Lisboa, Portugal.
Rev Port Cir Cardiotorac Vasc. 2007 Jul-Sep;14(3):143-7.
Steel wire sternum fixation in patients who underwent median sternotomy for cardiac surgery, is a routine procedure in our clinical practice. Sternal dehiscence either associated or not to surgical wound infection, though with low incidence, carries high morbidity, mortality and economic costs that make the research for alternative techniques a fundamental task. A new titanium transverse plate fixation system seems to be an excellent and safe alternative, that can be performed by cardiac surgeons to reconstruct the sternum in case of dehiscence. We report the surgical technique and our experience with this new treatment.
在接受心脏手术正中开胸的患者中,钢丝胸骨固定是我们临床实践中的常规操作。胸骨裂开无论是否伴有手术伤口感染,尽管发生率较低,但具有高发病率、高死亡率和高昂的经济成本,这使得研究替代技术成为一项基本任务。一种新型钛制横板固定系统似乎是一种出色且安全的替代方法,心脏外科医生在胸骨裂开时可使用该系统来重建胸骨。我们报告这种新治疗方法的手术技术及我们的经验。