Fibula Allograft Sandwich Technique for the Reconstruction of Sternal Nonunion After Cardiac Surgery Cihangir Ersoy, MD, Arda Özyüksel, MD, Melih Malkoç,

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Presentation transcript:

Fibula Allograft Sandwich Technique for the Reconstruction of Sternal Nonunion After Cardiac Surgery Cihangir Ersoy, MD, Arda Özyüksel, MD, Melih Malkoç, MD, Bekir Kayhan, MD, Ekin Kayan, MD, Atıf Akçevin, MD, Halil Türkoğlu, MD The Annals of Thoracic Surgery Volume 98, Issue 2, Pages e51-e53 (August 2014) DOI: 10.1016/j.athoracsur.2014.05.066 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Three-dimensional computed tomography demonstrates the sternal nonunion with the wires cutting the bone. The Annals of Thoracic Surgery 2014 98, e51-e53DOI: (10.1016/j.athoracsur.2014.05.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Illustrations demonstrating the fibula allograft sandwich technique (the inlet figures demonstrate the technique crossectionally). (A) The allografts are located and wires are passed through the holes and sternocostal junctions. (B) Then the wires are looped and the allografts are positioned at an appropriate strength. The Annals of Thoracic Surgery 2014 98, e51-e53DOI: (10.1016/j.athoracsur.2014.05.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Operative view of the patient. (A) Two fibula allografts are placed laterally on the anterior side of the sternum (black arrows) and 1 at the posterior side (white arrow). The interrupted caliber no.7 wires are passed through (B) the allografts and (C) the sternum. The Annals of Thoracic Surgery 2014 98, e51-e53DOI: (10.1016/j.athoracsur.2014.05.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Three-dimensional computed tomography after the sternal reconstruction with (A) anterior, (B) lateral, and (C) posterior projections. The Annals of Thoracic Surgery 2014 98, e51-e53DOI: (10.1016/j.athoracsur.2014.05.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions