Qi Fa-Zhi, Feng Zi-Hao, Zhang Yong, Gu Jian-Ying
Department of Plastic and Reconstructive Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Jan;29(1):8-11.
To investigate the internal fixation of sternum with titanium plate for the treatment of sternal wound infection after cardiac surgery.
A retrospective study of 26 patients from Jan 2009 to Dec 2011 was carried out. All the 26 cases with sternal wounds infection after cardiac surgery, were treated by internal fixation with titanium plates.
All the patients had chronic infection, lasting for more than 3 months. 3 patients received vacuum-assisted closure treatment after complete debridement. All the wounds were covered with pectoral major muscle flap. All the wounds healed completely with no recurrence of infection.
Internal fixation of sternum with titanium plate can increase the stability. It helps to improve the treatment efficacy of sternal wound infection after cardiac surgery.
探讨钛板内固定治疗心脏手术后胸骨伤口感染的效果。
回顾性分析2009年1月至2011年12月期间的26例患者。这26例心脏手术后胸骨伤口感染患者均采用钛板内固定治疗。
所有患者均为慢性感染,持续时间超过3个月。3例患者在彻底清创后接受了负压封闭引流治疗。所有伤口均采用胸大肌肌瓣覆盖。所有伤口均完全愈合,无感染复发。
钛板内固定胸骨可增加稳定性。有助于提高心脏手术后胸骨伤口感染的治疗效果。