Transplantation of an allogeneic bone graft in treatment of post-sternotomy massive bone loss defects

Martin Kaláb,Eva Matějková,Vladimír Lonský,Jan Karkoška,Milan Kamínek

doi:10.1186/1749-8090-10-s1-a130

Abstract

Severe post-sternotomy dehiscence resulting in sternum and ribs losses, represent a surgical issue with mortality risk of 40%. Chest instability causes respiratory insufficiency, obstruction in disconnection from mechanical pulmonary ventilation and other soft tissue healing complications. Extensive bone tissue loss hinders the use of AO osteosynthesis.

Highlights

Background/Introduction Severe post-sternotomy dehiscence resulting in sternum and ribs losses, represent a surgical issue with mortality risk of 40%
Aims/Objectives Basing on orthopedic experience in bone defects replacement, we developed a technique of chest wall reconstruction using an allogeneic bone graft
In 6 cases (60%) the reconstructed chest wall was successfully healed without further complications

Summary

Introduction

Background/Introduction Severe post-sternotomy dehiscence resulting in sternum and ribs losses, represent a surgical issue with mortality risk of 40%. Aims/Objectives Basing on orthopedic experience in bone defects replacement, we developed a technique of chest wall reconstruction using an allogeneic bone graft. Results In 6 cases (60%) the reconstructed chest wall was successfully healed without further complications. In 3 cases (30%) additional resuture of soft tissues and skin in the wound lower part was performed during hospitalization.

Results

Conclusion