Sternal pseudoarthrosis after resternotomy treated with the Strasbourg Thoracic Osteosyntheses System: a case report

Ričardas Janilionis; Pierre-Emmanuel Falcoz; Vytautas Jovaišas; Žymantas Jagelavičius; Ramūnas Valančius

doi:10.6001/actamedica.v20i3.2728

Ričardas Janilionis
Pierre-Emmanuel Falcoz
Vytautas Jovaišas
Žymantas Jagelavičius
Ramūnas Valančius

DOI: https://doi.org/10.6001/actamedica.v20i3.2728

Keywords: sternotomy, sternal pseudoarthrosis, sternal osteosynthesis, chest instability, STRATOS

Abstract

Sternal dehiscence is a serious complication after general thoracic and cardiac surgery. Sternal resuturing, performed by simple rewiring or technical modification of rewiring, can fail overall when the bone quality is poor or the sternum is completely destroyed. A number of different sternal closure systems, consisting of plates, screws, clips and titanium bars, have been recently intoduced to treat the complicated sternal dehiscence. We describe the use of the Strasbourg Thoracic Osteosyntheses System (STRATOS) to treat complicated sternal dehiscence causing chest and back pain, sternum and chest instability, which was applied for the first time in Lithuania.