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With 18 months of a sustained successful outcome, we propose a treatment strategy for a challenging clinical problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>When primary ORIF fails, bone healing and resolution of a painful sternal nonunion can be effectively managed with a tricortical iliac crest in-lay autograft and locking mesh plate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00357","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T15:00:09Z","timestamp":1615302009000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Revision of Failed Sternal Fixation Using Tricortical Iliac Crest In-Lay Autograft and Mesh Plate"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5459-0382","authenticated-orcid":false,"given":"Temi D.","family":"Ogunleye","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0204-4280","authenticated-orcid":false,"given":"Tim A.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6217-5103","authenticated-orcid":false,"given":"Peter A.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1]]},"reference":[{"key":"bib1-20240807","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s13019-017-0580-x","article-title":"Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study","volume":"12","author":"Zhao","year":"2017","journal-title":"J Cardiothorac Surg."},{"issue":"5","key":"bib2-20240807","first-page":"1485","article-title":"Transverse sternal nonunion, repair and revision: a case report and review of the literature","volume":"66","author":"Severson","year":"2009","journal-title":"J Trauma."},{"issue":"4","key":"bib3-20240807","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.jtcvs.2004.02.016","article-title":"Rigid-plate fixation for the treatment of sternal nonunion","volume":"128","author":"Wu","year":"2004","journal-title":"J Thorac Cardiovasc 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