Abstract
Sterile sternal nonunion is defined as a persistent fracture of the sternum after 3 months without signs of healing. It is a morbid condition characterized by sternal instability, pain, and the absence of infection. In addition to being a crippling condition, one can assume that sternal instability can lead to more serious conditions. Two causes for sternal nonunion have been described: it can be the result of cardiac surgical intervention or trauma. Regardless of the cause, only a few studies have addressed the entity of sterile sternal nonunion and its treatment. We present 6 cases of sterile sternal nonunion, including its presentation, treatment with open reduction and rigid-plate fixation with the Sternalock system (W. Lorenz Surgical, Inc, Jacksonville, Fla), and the outcomes.
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