نتایج جستجو برای: sternal nonunion

تعداد نتایج: 5845  

2013
Evgeniya Antonova T Kim Le Russel Burge John Mershon

BACKGROUND Tibia shaft fractures (TSF) are common for men and women and cause substantial morbidity, healthcare use, and costs. The impact of nonunions on healthcare use and costs is poorly described. Our goal was to investigate patient characteristics and healthcare use and costs associated with TSF in patients with and without nonunion. METHODS We retrospectively analyzed medical claims in ...

Journal: :The Journal of bone and joint surgery. British volume 2003
A A C Reed C J Joyner S Isefuku H C Brownlow A H R W Simpson

Our aim was to develop a clinically relevant model of atrophic nonunion in the rat to test the hypothesis that the vessel density of atrophic nonunion reaches that of normal healing bone, but at a later time-point. Atrophic nonunion is usually attributed to impaired blood supply and is poorly understood. We determined the number of blood vessels at the site of an osteotomy using immunolocalisat...

2014
William Rothstein Tyler Spata Bryan Whitson Ahmet Kilic

This case report describes the repair of a complete sternal dehiscence of the lower right sternum using sternal wires, manubrial plates, and a Talon closure device for rigid, multidimensional sternal fixation. Sternal dehiscence is a rare but significant cause of morbidity for patients undergoing median sternotomy. The risk factors for this complication are well described and although sternal w...

2016
Shaal Ramdial Desigan Pillay Anil Madaree

A three day old neonate was referred to our department with a problem of a sternal cleft. Sternal clefts are often associated with a myriad of other abnormalities ranging from mild to severe. We present our experience with such a problem, and review the current literature concerning it.

2015
Thavakumar Subramaniam Luther Keita Dave Veerasingam

Sternal dehiscence is a recognised complication after median sternotomy, occurring in 0.5-5% of cases with or without infection. A 72-year-old man presenting with collapse and ventricular tachycardia was investigated for a possible acute cardiac event 2 years after coronary artery bypass grafting for ischemic heart disease. Work-up chest X-ray showed displacement of all sternal wires, and compu...

Journal: :Interactive cardiovascular and thoracic surgery 2010
Jack Broadhurst Narain Moorjani Sunil Ohri

Median sternotomy can be associated with significant morbidity, including non-union, dehiscence and mediastinitis. The use of flexible thermoreactive sternal clips has been introduced recently as an alternative method of sternal closure and is advocated in patients at increased risk of sternal breakdown. It is associated with a decreased incidence of sternal complications as well as allowing fa...

2009
Hosam Fawzy Nasser Alhodaib C David Mazer Alana Harrington David Latter Daniel Bonneau Lee Errett James Mahoney

BACKGROUND Sternal instability with mediastinitis is a very serious complication after median sternotomy. Biomechanical studies have suggested superiority of rigid plate fixation over wire cerclage for sternal fixation. This study tests the hypothesis that sternal closure stability can be improved by adding plate fixation in a human cadaver model. METHODS Midline sternotomy was performed in 1...

حبیبی, ولی الله, نورایی, محمود, گدازنده, غلامعلی,

Background and purpose: Sternal Wound Infection (SWI) is a serious complication of median sternotomy that increases the rate of mortality. We report our experience of managing SWI in a regional cardiothoracic unit in Mazandaran province, Iran. Materials and methods: We prospectively studied 4725 patients who underwent isolated coronary artery bypass grafting between March 2012 and March 2015...

2017
Silvana F. Marasco David C. McGiffin Adam D. Zimmet Pablo C. Solis Judy M. Bingham Randall A. Moshinsky

OBJECTIVE Sternal bleeding during cardiac surgery is currently controlled using bone wax or other chemical substances that may result in adverse effects and affect wound healing and recovery. The purpose of this study was to identify a safe, cost-effective, and easy-to-use technique to reduce sternal bleeding and sternal trauma during cardiac surgery. METHODS After sternotomy, a sternal prote...

2014
Seiji Kimura Seiji Ohtori Sumihisa Orita Gen Inoue Yawara Eguchi Masashi Takaso Nobuyasu Ochiai Kazuki Kuniyoshi Yasuchika Aoki Tetsuhiro Ishikawa Masayuki Miyagi Hiroto Kamoda Miyako Suzuki Yoshihiro Sakuma Gou Kubota Yasuhiro Oikawa Kazuhide Inage Takeshi Sainoh Kazuyo Yamauchi Tomoaki Toyone Junichi Nakamura Shunji Kishida Jun Sato Kazuhisa Takahashi

PURPOSE Bupivacaine is commonly used for the treatment of back pain and the diagnosis of its origin. Nonunion is sometimes observed after spinal fusion surgery; however, whether the nonunion causes pain is controversial. In the current study, we aimed to detect painful nonunion by injecting bupivacaine into the disc space of patients with nonunion after anterior lumbar interbody fusion (ALIF) s...

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