Minimally Invasive Sternal Reconstruction for Chronic Partial Sternal Separation After Cardiac Surgery

 Sternal dehiscence without mediastinitis is a rare and relatively benign complication after cardiac surgery. However, it may cause severe discomfort for a patient. Traditional approaches include the Robicsek technique and its modifications, which require advanced dissection of the posterior surface of the sternum (1,2). In this video, the authors present a less invasive approach for chronic partial sternal separation using titanium implants.  

References

1. Robicsek F, Fokin A, Cook J, Bhatia D. Sternal instability after midline sternotomy. Thorac Cardiovasc Surg. 2000 Feb;48(1):1-8. doi:10.1055/s-2000-9945.
2. Freystaetter K, Dunning J. The Robicsek Procedure for Closure of a Dehiscence of the Sternum. April 2020. doi:10.25373/ctsnet.12126438