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[Sternal Nonunion after Open Heart Surgery through a Partial Sternotomy;Report of a Case]
Seiji Ichikawa1, Fumihiko Murakami, Tetsuya Ohara
1Department of Thoracic and Cardiovascular Surgery, Meijo Hospital, Nagoya, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 13, 2018
Summary
Sternal nonunion, a rare complication after open heart surgery, can cause persistent pain. Effective treatment involves debridement and autogenous bone grafting for sternal healing.
Area of Science:
- Cardiovascular Surgery
- Orthopedic Surgery
Background:
- Sternal nonunion is an infrequent complication following sternal procedures, particularly after open heart surgery.
- Transverse sternotomy, a surgical approach, may increase the risk of sternal nonunion.
Observation:
- A 28-year-old male presented with recurrent sternal pain and clicking six years post-sternotomy.
- Previous repair with sternal wires and a pin failed due to hardware rupture and incomplete sternal healing.
Findings:
- Sternal nonunion was successfully treated with debridement and autogenous bone grafting combined with metal plates.
- This surgical intervention provided significant pain relief for the patient.
Implications:
- Autogenous bone grafting is a recommended treatment for sternal nonunion, especially after transverse sternotomies.
- This case highlights the importance of robust surgical techniques for sternal reconstruction to ensure long-term healing and pain management.
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