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Related Experiment Videos

Turnover procedure.

J Wada1, W R Ade

  • 1Sapporo Medical University, Tokyo, Japan.

Chest Surgery Clinics of North America
|May 10, 2000
PubMed
Summary
This summary is machine-generated.

Sternal turnover surgery, a unique bone graft, provides chest stability and cosmetic benefits. Studies show free grafts yield satisfying results, with bone marrow recovery observed even after repeat surgeries.

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Area of Science:

  • Thoracic Surgery
  • Orthotopic Bone Transplantation
  • Reconstructive Surgery

Background:

  • Sternal turnover is an orthotopic bone transplantation technique.
  • It offers immediate chest stability and favorable cosmetic outcomes.
  • While pedicled plastrons have been used, free grafts are also effective.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of sternal turnover using free grafts.
  • To assess the long-term viability and bone marrow recovery after sternal turnover.

Main Methods:

  • A series of 300 cases undergoing sternal turnover with free grafts.
  • Technetium-99m isotope studies for plastron visualization.
  • Histopathologic examination of sternal bone marrow after redo-operations.

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Main Results:

  • Satisfying results were achieved in a large series of 300 cases using free grafts.
  • Technetium-99m studies confirmed plastron visualization one year post-surgery.
  • Histopathologic analysis revealed near-normal sternal bone marrow findings after redo-operations.

Conclusions:

  • Sternal turnover with free grafts is a successful reconstructive procedure.
  • The technique ensures long-term viability and promotes bone marrow recovery.
  • It provides immediate stability and good cosmetic results for chest reconstruction.