Successful Reconstruction of Sternum With a Scapular Autograft Segment: 5-Year Follow-Up

Complete loss of the sternum after osteomyelitis leads to chest wall instability and decreases respiratory mechanics. Thus, surgical management with prosthetic devices or various flap coverage procedures is required to restore anterior chest wall stability. We report on a new technique of an osteocutaneous flap from the scapula providing thoracic stability and protective coverage of mediastinal organs, and additionally allowing removal of osteosynthesis material. A 5-year follow-up demonstrates excellent durability and outcome. (Ann Thorac Surg 2011;92:1889-91) (C) 2011 by The Society of Thoracic Surgeons