Sahin M A, Doganci S, Guler A
Department of Cardiovascular Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
Thorac Cardiovasc Surg. 2011 Feb;59(1):49-50. doi: 10.1055/s-0030-1250210. Epub 2011 Jan 17.
Sternal dehiscence after cardiac surgery occurs infrequently and can lead to mediastinitis and prolonged hospital stay and may even result in death. The most common treatment for mechanical sternal instability is rewiring with wound debridement. We present a case in which a modified titanium mesh plate fixation technique was used. A safe and easy to perform technique, this method can be an alternative option to wire closure in a sternum with fractures, instability or poor bone quality.
心脏手术后胸骨裂开很少发生，但可导致纵隔炎、延长住院时间，甚至可能导致死亡。机械性胸骨不稳定最常见的治疗方法是重新缝合并进行伤口清创。我们报告了一例使用改良钛网板固定技术的病例。这种技术安全且易于实施，对于存在骨折、不稳定或骨质不佳的胸骨，该方法可作为钢丝缝合的替代选择。
