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Sternal dehiscence The Journal of Thoracic and Cardiovascular Surgery

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Presentation on theme: "Sternal dehiscence The Journal of Thoracic and Cardiovascular Surgery"— Presentation transcript:

1 Sternal dehiscence The Journal of Thoracic and Cardiovascular Surgery
Ronald H. Hayward, MB, ChB, PhD, Wade L. Knight, MD, Clinton E. Baisden, MD, Charles G. Reiter, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 108, Issue 4, Pages (October 1994) DOI: /uri:pii:S Copyright © 1994 Mosby, Inc. Terms and Conditions

2 Fig. 1 Early or subtle shift and tilt of wire 7 to the left (type 1).
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /uri:pii:S ) Copyright © 1994 Mosby, Inc. Terms and Conditions

3 Fig. 2 Gross changes with wire 1 displaced to the right and wires 2 and 3 to the left (type 2). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /uri:pii:S ) Copyright © 1994 Mosby, Inc. Terms and Conditions

4 Fig. 3 Gross changes with en bloc shift of wires 4, 5, 6, and 7 to the left (type 3). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /uri:pii:S ) Copyright © 1994 Mosby, Inc. Terms and Conditions

5 Fig. 4 Late change with all wires rotated and the lower four displaced in a random fashion (scrambled type 4). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /uri:pii:S ) Copyright © 1994 Mosby, Inc. Terms and Conditions

6 Fig. 5 Postoperative observation of median sternotomy wire displacement indicating day of subtle or gross change and clinical detection. Case10 showed gross changes on postoperative day 10, but separation was not diagnosed until seen at reoperation 3 ½ years later. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /uri:pii:S ) Copyright © 1994 Mosby, Inc. Terms and Conditions

7 Fig. 6 Hypothetical findings at time of surgical rewiring.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /uri:pii:S ) Copyright © 1994 Mosby, Inc. Terms and Conditions

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