Manubrial Resection and Reconstruction With Iliac Wing Bone Autograft

Abstract

The manubrium stabilizes the shoulders and assists in movement of the chest wall during respiration. Thus, resection of the manubrium creates instability of the chest wall and exposes the underlying great vessels. The material utilized to reconstruct the manubrium should be durable, resistant to infection and rejection, and provide good cosmesis. Autologous iliac crest bone grafts have been successfully used for bone replacement by orthopaedic surgeons and have proven to be versatile and less prone to rejection. In this article, we describe our technique for reconstruction of the sternum utilizing iliac wing bone autograft. The manubrium stabilizes the shoulders and assists in movement of the chest wall during respiration. Thus, resection of the manubrium creates instability of the chest wall and exposes the underlying great vessels. The material utilized to reconstruct the manubrium should be durable, resistant to infection and rejection, and provide good cosmesis. Autologous iliac crest bone grafts have been successfully used for bone replacement by orthopaedic surgeons and have proven to be versatile and less prone to rejection. In this article, we describe our technique for reconstruction of the sternum utilizing iliac wing bone autograft.