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

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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 2228-2230 (June 2015) DOI: 10.1016/j.athoracsur.2015.02.018 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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 2015 99, 2228-2230DOI: (10.1016/j.athoracsur.2015.02.018) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Sternal dehiscence with viable sternum (note the transverse rectus abdominis myocutaneous flap retracted downward). The Annals of Thoracic Surgery 2015 99, 2228-2230DOI: (10.1016/j.athoracsur.2015.02.018) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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 2015 99, 2228-2230DOI: (10.1016/j.athoracsur.2015.02.018) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Three months postoperatively. The Annals of Thoracic Surgery 2015 99, 2228-2230DOI: (10.1016/j.athoracsur.2015.02.018) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions