Complete sternectomy for chronic osteomyelitis with reconstruction using a rectus abdominis myocutaneous island flap.

We believe the rectus abdominis myocutaneous island flap offers a reliable alternative method of midchest reconstruction in selected cases of chronic osteomyelitis of the sternum, in conjunction with complete resection of injected sternal bone and cartilage. This single-stage procedure provides an en bloc unit of muscle with overlying skin and soft tissue, reaching from the xiphoid to the sternal notch. Three successful cases demonstrating the method are presented, with follow-up ranging from two months to two years.