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6th Internet World Congress for Biomedical Sciences

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ESTERNUM OSTEOMIELITYS: RIB ALLOGRAFT AND HEMITURNOVER AND ADVANCEMENT PECTORALIS MAJOR FLAPS

MŞ Jesús Martínez González(1), Alejandro Nogueira(2), Olatz Alcelay(3)
(1)(2)(3)Hospital Central de Asturias - OVIEDO. Spain

[ABSTRACT] [INTRODUCTION] [MATERIAL & METHODS] [RESULTS] [IMAGES] [IMAGES-2] [DISCUSSION] [CONCLUSIONS] [BIBLIOGRAPHY] [Discussion Board]
INTRODUCTION Previous: GENTAMICIN CONTAINING SURGICAL BONE CEMENT: IN VITRO ELUTION CHARACTERISTICS OF PALACOS® AND PALAMED® Previous: EPITHELIAL SKIN CANCER IN HEAD AND NECK RESULTS
[Orthopedics & Traumatology]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW		 [Plastic Surgery]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW

MATERIAL & METHODS

76 year-old, female, insulin-dependient, is operated of cardiac valvuloplasty by medial esternotomy. In the first days postoperatory she developed a wound infection ( Ps. Aeruginosa), and dehiscence.She´s taken to intenssive care unit. The tissues are debrided and sutures are partiality retired in successive days. When acute infection is controled it´s planned reconstruction. Now she presents an skin loss of the lower sternal third, bone loss in the two lower sternal thirds and condro-costal insertions loss of 3th and following with chest wall inestability.

Skin and rest of tissue are debrided. Cryopreserved costal allograft is tailored and fixed with 2 memory retention staples between 5th costal cartilages to stabilize the chest box. Left pectoralis major flap advancement based on toraco-acromial vessels and right hemi-turover pectoralis major based on internal mammary artery paraesternal perforators are tailored. (1). Dead space is obliterated with hemiturover flap,under costal allograft. Over this, advancement flap is situated and skin defect is closed primarily.

In the postoperatory she was presented skin loss that was debrided and covered with split thickness skin graft.

Discussion Board
Discussion Board

Any Comment to this presentation?

[ABSTRACT] [INTRODUCTION] [MATERIAL & METHODS] [RESULTS] [IMAGES] [IMAGES-2] [DISCUSSION] [CONCLUSIONS] [BIBLIOGRAPHY] [Discussion Board]
INTRODUCTION Previous: GENTAMICIN CONTAINING SURGICAL BONE CEMENT: IN VITRO ELUTION CHARACTERISTICS OF PALACOS® AND PALAMED® Previous: EPITHELIAL SKIN CANCER IN HEAD AND NECK RESULTS
[Orthopedics & Traumatology]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW		 [Plastic Surgery]
Next: LATERAL FOREARM FLAP IN THE RECONSTRUCTION OF A COMPLEX DEFECT OF SKIN AND ULNAR NERVE AT THE MEDIAL ELBOW
MŞ Jesús Martínez González, Alejandro Nogueira, Olatz Alcelay
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Last update: 20/01/00