@article{JOVS21273,
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 = {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.},
issn = {2221-2965}, url = {https://jovs.amegroups.org/article/view/21273}
}