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Bharat Pancholy, MD, Jai Raman, MD, PhD  The Annals of Thoracic Surgery 

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Presentation on theme: "Bharat Pancholy, MD, Jai Raman, MD, PhD  The Annals of Thoracic Surgery "— Presentation transcript:

1 Chest Wall Reconstruction Using Sternal Plating in Patients With Complex Sternal Dehiscence 
Bharat Pancholy, MD, Jai Raman, MD, PhD  The Annals of Thoracic Surgery  Volume 99, Issue 6, Pages (June 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Detailed algorithm of an approach to sternal dehiscence. (BMP = bone morphogenetic protein; DBM = demineralized bone matrix; s/p = status post; VAC = vacuum assisted closure.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Sternal dehiscence with viable sternum (note the transverse rectus abdominis myocutaneous flap retracted downward). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Plated sternal fragments; bony defects filled in with demineralized bone matrix overlaid by sponges soaked in bone morphogenetic protein. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Three months postoperatively.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions


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