Minimally Invasive Approach for Non-Infectious Partial Sternal Dehiscence after Cardiac Surgery Using Sternal Talon Titanium Implants
Abstract
Postoperative non-infectious sternal dehiscence is a rare, but relatively favorable complication following cardiac surgery. The article describes the surgical technique and presents a series of cases of surgical treatment of non-infectious partial sternal dehiscence using Sternal Talon titanium implants. The advantages of Sternal Talon are the large thickness of the device at the sternum grip (reduces the risk of cutting through the bone), reliable and rigid fixation, as well as ease of use. Delayed (several months) osteosynthesis reduces the risk of complications due to the elimination of perioperative factors associated with the index surgery.
About the Authors
V. I. KaledaRussian Federation
Kaleda Vasily I., M.D., Ph.D., cardiovascular surgeon, Department of Cardiac Surgery
5, Marshala Timoshenko St., Moscow, 121359
V. V. Murylev
Russian Federation
Murylev Vladimir V., M.D., cardiovascular surgeon, Department of Cardiac Surgery
5, Marshala Timoshenko St., Moscow, 121359
I. A. Alekseev
Russian Federation
Alekseev Ivan A., M.D., cardiovascular surgeon, Department of Cardiac Surgery
5, Marshala Timoshenko St., Moscow, 121359
P. A. Karavaikin
Russian Federation
Karavaikin Pavel A., M.D., cardiovascular surgeon, Department of Cardiac Surgery
5, Marshala Timoshenko St., Moscow, 121359
A. V. Molochkov
Russian Federation
Molochkov Anatoly V., M.D., Ph.D., Head of Department of Cardiac Surgery
5, Marshala Timoshenko St., Moscow, 121359
References
1. Huh J, Bakaeen F, Chu D, Wall MJ. Transverse sternal plating in secondary sternal reconstruction. J Thorac Cardiovasc Surg. 2008;136(6):1476-1480. doi:10.1016/J.JTCVS.2008.03.051
2. Kaleda V, Orlov O, Murylev V, Molochkov A. Minimally invasive sternal reconstruction for chronic partial sternal separation after cardiac surgery. CTSNet. 2022. doi:10.25373/CTSNET.19829314
3. Careaga Reyna G, Aguirre Baca GG, Medina Concebida LE, et al. Factores de riesgo para mediastinitis y dehiscencia esternal después de cirugía cardíaca [Risk factors for mediastinitis and sternal dehiscence after cardiac surgery]. Rev Esp Cardiol. 2006;59(2):130-135.
4. Olbrecht VA, Barreiro CJ, Bonde PN, et al. Clinical outcomes of noninfectious sternal dehiscence after median sternotomy. Ann Thorac Surg. 2006;82(3):902-907. doi:10.1016/J.ATHORACSUR.2006.04.058
5. Fu RH, Weinstein AL, Chang MM, et al. Risk factors of infected sternal wounds versus sterile wound dehiscence. Journal of Surgical Research. 2016;200(1):400-407. doi:10.1016/J.JSS.2015.07.045
6. Robicsek F, Fokin A, Cook J, Bhatia D. Sternal instability after midline sternotomy. Thorac Cardiovasc Surg. 2000;48(01):1-8. doi:10.1055/S-2000-9945
7. Chepla KJ, Salgado CJ, Tang CJ, et al. Late complications of chest wall reconstruction: management of painful sternal nonunion. Semin Plast Surg. 2011;25(01):098-108. doi:10.1055/S-0031-1275176
8. Gucu A, Toktas F, Eris C, Ata Y, Turk T. Nitinol thermoreactive clips for secondary sternal closure in cases of noninfective sternal dehiscence. Tex Heart Inst J. 2012;39(4):513-516.
9. DeLong MR, Hughes DB, Gaca JG, et al. Sternal Talon offers a solution for secondary sternum osteosynthesis in patients with nonunion. Ann Thorac Surg. 2014;98(5):1804- 1808. doi:10.1016/J.ATHORACSUR.2014.06.048
Review
For citations:
Kaleda V.I., Murylev V.V., Alekseev I.A., Karavaikin P.A., Molochkov A.V. Minimally Invasive Approach for Non-Infectious Partial Sternal Dehiscence after Cardiac Surgery Using Sternal Talon Titanium Implants. Minimally Invasive Cardiovascular Surgery. 2022;(1):78-82. (In Russ.)