Revision of Failed Sternal Fixation Using Tricortical Iliac Crest In-Lay Autograft and Mesh Plate: A Case Report
Temi D Ogunleye1, Tim A Carlson, Peter A Cole
1Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota.
JBJS Case Connector
|March 10, 2021
Abstract
Case:
We present the case of a 57-year-old woman who sustained a comminuted transverse sternal fracture that failed primary open reduction internal fixation (ORIF). The patient underwent staged nonunion reconstruction with a tricortical iliac crest bone graft and mesh plate. With 18 months of a sustained successful outcome, we propose a treatment strategy for a challenging clinical problem.
Conclusion:
When primary ORIF fails, bone healing and resolution of a painful sternal nonunion can be effectively managed with a tricortical iliac crest in-lay autograft and locking mesh plate.
