Sternal Plating to Prevent Malunion of Transverse Sternotomy in Lung Transplantation

Kimberly L. Gandy, Michael J. Moulton

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Sternal malunion can be a significant cause of morbidity in double-lung transplantation when it is performed through a thoracosternotomy or clamshell incision. Some patients experience increased pain with malunion and have delayed or decreased functional recovery. We propose a method of sternal plating to decrease the incidence of sternal malunion encountered with this incision. The transverse sternotomy can be rigidly fixed with two titanium interlocking plates during chest closure, a procedure that offers the potential for timely and consistent union of the sternum. The interlocking plate configuration also affords a unique quality to this closure; a pin securing the two plates can be quickly released allowing expedient access to mediastinal structures if emergent re-entry is necessary.

Original languageEnglish (US)
Pages (from-to)1384-1385
Number of pages2
JournalAnnals of Thoracic Surgery
Volume86
Issue number4
DOIs
StatePublished - Oct 1 2008

Fingerprint

Sternotomy
Lung Transplantation
Sternum
Titanium
Thorax
Morbidity
Pain
Incidence

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Sternal Plating to Prevent Malunion of Transverse Sternotomy in Lung Transplantation. / Gandy, Kimberly L.; Moulton, Michael J.

In: Annals of Thoracic Surgery, Vol. 86, No. 4, 01.10.2008, p. 1384-1385.

Research output: Contribution to journalArticle

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