• Der Unfallchirurg · Feb 2022

    [Atrophic sternum nonunion-Case report based on the nonunion scoring system].

    • Benedikt J Braun, Steven C Herath, RollmannMika F RMFRKlinik für Unfall- und Wiederherstellungschirurgie an der Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland., Maximilian M Menger, Heiko Baumgartner, Marie Reumann, and Tina Histing.
    • Klinik für Unfall- und Wiederherstellungschirurgie an der Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland. bbraun@bgu-tuebingen.de.
    • Unfallchirurg. 2022 Feb 8.

    AbstractNonunions after median sternotomy are rare and usually respond well to surgical treatment. Recalcitrant nonunions despite surgical treatment require a comprehensive mechanical and biological treatment strategy to achieve an adequate functional result for the patient. We demonstrate the case of a 4-year recalcitrant atrophic nonunion. Through a surgical approach guided by the criteria of the nonunion scoring system (NUSS) successful healing was achieved. Our strategy as well as the treatment course are presented.© 2022. The Author(s).

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