{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T19:25:49Z","timestamp":1754162749729,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Sternal dehiscence (SD) with or without deep sternal wound infection is one of the troublesome complications of medium sternotomy. It is associated with a significant increase in post-operative morbidity and health care costs. In order to minimize the risk of SD there is a growing trend towards minimally invasive and sternal sparing approaches. Traditionally, SD is surgically managed by rewiring with or without the Robesck technique. However, this approach may not be effective in high-risk patients who are at increased risk of recurrent sternal breakdown. Recently, rigid sternal fixation using titanium plates has evolved as an alternative treatment option in the high-risk cohort. We present surgical management of a complicated upper hemi-sternal dehiscence following aortic valve replacement via upper hemi-sternotomy. We performed reconstruction of the upper hemi-sternum using titanium plates to achieve rigid sternal fixation with excellent results.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf566","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T13:12:47Z","timestamp":1752585167000},"source":"Crossref","is-referenced-by-count":0,"title":["Sternal reconstruction using titanium plates for complicated upper hemi-sternum dehiscence"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8153-0980","authenticated-orcid":false,"given":"Mian Mustafa","family":"Kamal","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Bristol Heart Institute, University Hospital Bristol and Weston NHS Foundation Trust , Bristol ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohsin","family":"Shabbir","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Bristol Heart Institute, University Hospital Bristol and Weston NHS Foundation Trust , Bristol ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sothagar","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Bristol Heart Institute, University Hospital Bristol and Weston NHS Foundation Trust , Bristol ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cha","family":"Rajakaruna","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Bristol Heart Institute, University Hospital Bristol and Weston NHS Foundation Trust , Bristol ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"2025073010382078600_ref1","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1097\/SAP.0000000000000155","article-title":"Rigid fixation for the prevention and treatment of sternal complications: a review of our experience","volume":"72","author":"Nazerali","year":"2014","journal-title":"Ann Plast Surg"},{"key":"2025073010382078600_ref2","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.ejcts.2008.03.030","article-title":"Sternal reconstruction with titanium plates in complicated sternal dehiscence","volume":"34","author":"Voss","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025073010382078600_ref3","doi-asserted-by":"publisher","first-page":"1476","DOI":"10.1016\/j.jtcvs.2008.03.051","article-title":"Transverse sternal plating in secondary sternal reconstruction","volume":"136","author":"Huh","year":"2008","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025073010382078600_ref4","doi-asserted-by":"publisher","first-page":"1640","DOI":"10.1016\/j.athoracsur.2018.01.057","article-title":"Mid-term results after sternal reconstruction using titanium plates: is it worth it to plate?","volume":"105","author":"Voss","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"2025073010382078600_ref5","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1186\/s13019-021-01555-2","article-title":"Development of a new sternal dehiscence prediction scale for decision making in sternal closure techniques after cardiac surgery","volume":"16","author":"Nooh","year":"2021","journal-title":"J Cardiothorac Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf566\/63892479\/rjaf566.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf566\/63892479\/rjaf566.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:38:28Z","timestamp":1753886308000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf566\/8219140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf566","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf566"}}