Reconstruction of massive post-sternotomy defects with allogeneic bone graft: four-year results and experience using the method
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F16%3A73579621" target="_blank" >RIV/61989592:15110/16:73579621 - isvavai.cz</a>
Alternative codes found
RIV/00098892:_____/16:N0000095
Result on the web
<a href="https://academic.oup.com/icvts/article-lookup/doi/10.1093/icvts/ivv322" target="_blank" >https://academic.oup.com/icvts/article-lookup/doi/10.1093/icvts/ivv322</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1093/icvts/ivv322" target="_blank" >10.1093/icvts/ivv322</a>
Alternative languages
Result language
angličtina
Original language name
Reconstruction of massive post-sternotomy defects with allogeneic bone graft: four-year results and experience using the method
Original language description
METHODS:We performed the transplantation of allogeneic bone graft in 10 patients. In 9 cases, an allograft of sternum was used and in 1 case an allograft of calva bone. After the primary cardiac surgery, a massive post-sternotomy defect of the chest wall had developed in all 10 patients. Vacuum wound drainage was applied in the treatment of all patients. To stabilize the transverse, titanium plates were used. Bone allograft was prepared by the official Tissue Centre. Crushed allogeneic spongy bone was applied to reinforce the line of contact of the graft and the edges of residual skeleton. In 9 cases, the soft tissue was closed by direct suture of mobilized pectoral flaps. In 1 case, V-Y transposition of pectoral flap was performed. RESULTS:In 6 cases, healing of the reconstructed chest wall occurred without further complications. In 3 cases, additional re-suture of the soft tissues and skin in the lower pole of the wound was necessary. Excellent chest wall stability along with the adjustment of respiratory insufficiency and good cosmetic effect was achieved in all cases. In 1 case, severe concomitant complications and no healing of the wound resulted in death within 6 months after the reconstruction. Median follow-up of all patients in the series was 14.1 months (1-36 months). In 4 patients, scintigraphy of the chest wall was performed. CONCLUSIONS:Our existing results show that allogeneic bone graft transplantation is a promising and easily applied method in the management of serious tissue loss in sternal dehiscence with favourable functional and cosmetic effects. The relatively small number of patients with such severe healing complications of sternotomy however puts critical limits to a more detailed comparison with other practices and evaluation of long-term results.
Czech name
—
Czech description
—
Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
—
OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Interactive Cardiovascular and Thoracic Surgery
ISSN
1569-9293
e-ISSN
—
Volume of the periodical
22
Issue of the periodical within the volume
3
Country of publishing house
GB - UNITED KINGDOM
Number of pages
9
Pages from-to
305-313
UT code for WoS article
000372983300012
EID of the result in the Scopus database
2-s2.0-84961257260