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Singh et al. Vessel Plus 2017;1:242-5 Vessel Plus
DOI: 10.20517/2574-1209.2017.25
www.vpjournal.net
Case Report Open Access

Sternal malunion fixation using a Titanium

Sternal Fixation System in a diabetic patient.

The first of its kind in Scotland

Sanjeet Singh Avtaar Singh , Massimo Capoccia , Kamal Deep , Nawwar Al-Attar 3
2
1
1
1 Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
2 Department of Orthopaedic Surgery, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
3 Scottish National Advanced Heart Failure Service, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
Correspondence to: Dr. Sanjeet Singh Avtaar Singh, Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Agamemnon Street,
Glasgow G81 4DY, UK. E-mail: sanjeetsingh@nhs.net

How to cite this article: Singh SSA, Capoccia M, Deep K, Al-Attar N. Sternal malunion fixation using a titanium sternal fixation system in a diabetic
patient. The first of its kind in Scotland. Vessel Plus 2017;1:242-5.

Mr. Sanjeet Singh Avtaar Singh, MBChB (Edin), MSc (Edin), MRCS (Edin), is a cardiothoracic research fellow
who is currently the Cardiothoracic Advisory Group (CTAG) Audit Fellow based in Scotland at the Golden Jubilee
National Hospital. He is currently pursuing his PhD at the University of Glasgow. His research interests surround
primary graft dysfunction in heart transplantation.

ABSTRACT
Article history: Sternal non-union is a rare but serious complication post-sternotomy. It is defined as sternal
Received: 17 Jul 2017 pain with clicking, instability, or both for more than 6 months in the absence of infection and
First Decision: 5 Sep 2017 usually presents in an outpatient setting. It may result in multiple admissions to the hospital
Revised: 5 Sep 2017 for surgical debridement and wound care therapies. Several risk factors have been identified
Accepted: 11 Sep 2017 in the literature but treatment options are limited. Proven benefits of increased stability and
Published: 28 Dec 2017 decreased incidence of non-union using the principles of rigid fixation have been described
Key words: in other surgical specialties such as orthopaedic surgery. Employing this, the authors describe
Sternal fixation, the first successful sternal non-union fixation using the Titanium Sternal Fixation System
sternal dehiscence, (DepuySynthes) in Scotland.
diabetes,
bilateral internal thoracic artery

INTRODUCTION medical history included type 2 diabetes mellitus
for which he was on oral hypoglycaemic agents and
A 54-year-old male was referred to our unit following subcutaneous insulin. He underwent a coronary
a Non-ST elevation myocardial infarction. His past angiogram that revealed severe triple vessel disease in:
Quick Response Code:
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