Nonunions 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. ⋯ 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.
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, Tü... more bingen, Deutschland., Maximilian M Menger, Heiko Baumgartner, Marie Reumann, and Tina Histing. less
Klinik für Unfall- und Wiederherstellungschirurgie an der Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland. bbraun@bgu-tuebingen.de.