mostly residual pain, seroma, arm strength loss, chest wall instability and pulmonary function impairment (4-7). To propose a new option for sternal reconstruction during DSWI, the porous structure of an alumina ceramic sternal prosthesis (I.Ceram ® , Limoges, France) (8) has been loaded
A 68-year-old man presented with destruction of his sternum after cardiac surgery. Classical management with multiple debridements, vacuum dressings and antibiotics failed. A replacement of his sternum was performed using an antibiotic-loaded porous alumina ceramic sternum. Despite the infected wound, the ceramic sternum did not get infected due to the high antibiotic concentration obtained locally. Two years after the surgery, no relapse occurred and the pulmonary function tests improved.
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