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Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report

INTRODUCTION: Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for 0.2% to 5% of patients who have undergone median sternotomy for open heart surgery. We report a successful, conservative, supportive long-term th...

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Detalles Bibliográficos
Autores principales: Klement, Andreas, Herrmann, Manfred
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928784/
https://www.ncbi.nlm.nih.gov/pubmed/20701783
http://dx.doi.org/10.1186/1752-1947-4-266
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author Klement, Andreas
Herrmann, Manfred
author_facet Klement, Andreas
Herrmann, Manfred
author_sort Klement, Andreas
collection PubMed
description INTRODUCTION: Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for 0.2% to 5% of patients who have undergone median sternotomy for open heart surgery. We report a successful, conservative, supportive long-term therapy of painful sternal non-union using a customized compression garment vest. CASE PRESENTATION: We report a case of painful sternal instability following open heart surgery in a 74-year-old Caucasian man. The complicating factors of obesity (body mass index of 40), renal failure, insulin-dependent diabetes mellitus and absolute arrhythmia with atrial fibrillation were present. CONCLUSION: A number of studies have demonstrated the efficacy of surgical interventions for secondary sternal stabilization, but individual patients may reject this option or may be, for other reasons, no longer operable. The task of primary care physicians and other health care providers is to offer this group of patients an alternative option for pragmatic, inexpensive and effective supportive therapy, of which compression garments are an example.
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spelling pubmed-29287842010-08-27 Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report Klement, Andreas Herrmann, Manfred J Med Case Reports Case Report INTRODUCTION: Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for 0.2% to 5% of patients who have undergone median sternotomy for open heart surgery. We report a successful, conservative, supportive long-term therapy of painful sternal non-union using a customized compression garment vest. CASE PRESENTATION: We report a case of painful sternal instability following open heart surgery in a 74-year-old Caucasian man. The complicating factors of obesity (body mass index of 40), renal failure, insulin-dependent diabetes mellitus and absolute arrhythmia with atrial fibrillation were present. CONCLUSION: A number of studies have demonstrated the efficacy of surgical interventions for secondary sternal stabilization, but individual patients may reject this option or may be, for other reasons, no longer operable. The task of primary care physicians and other health care providers is to offer this group of patients an alternative option for pragmatic, inexpensive and effective supportive therapy, of which compression garments are an example. BioMed Central 2010-08-11 /pmc/articles/PMC2928784/ /pubmed/20701783 http://dx.doi.org/10.1186/1752-1947-4-266 Text en Copyright ©2010 Klement and Herrmann; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Klement, Andreas
Herrmann, Manfred
Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
title Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
title_full Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
title_fullStr Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
title_full_unstemmed Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
title_short Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
title_sort supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928784/
https://www.ncbi.nlm.nih.gov/pubmed/20701783
http://dx.doi.org/10.1186/1752-1947-4-266
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