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Distal sternectomy for post-sternotomy chronic osteomyelitis

	author = {Francesco Petrella and Francesco Arlati and Alessio Vincenzo Mariolo and Marco Gennari and Sergio Pirola and Gianluca Polvani and Lorenzo Spaggiari},
	title = {Distal sternectomy for post-sternotomy chronic osteomyelitis},
	journal = {The Journal of Visualized Surgery},
	volume = {4},
	number = {0},
	year = {2018},
	keywords = {},
	abstract = {Sternal chronic osteomyelitis following median sternotomy is a severe complication of open cardiac surgery, presenting as purulent draining sinus tracts in patients with a closed sternal wound. First-line treatments are repeated curettages, conservative debridements, aggressive antibiotic therapy and the application of negative pressure to wound to accelerate the wound-healing process and promote granulation tissue formation, by using the vacuum-assisted closure device. Recalcitrant infections may require sternectomy and resection of all infected costal cartilages for complete eradication of the infection. Here we report a case of recalcitrant post sternotomy osteomyelitis treated by distal sternectomy and reconstruction by absorbable mesh.},
	url = {}