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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