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Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection
Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting.
Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Thoracic and Vascular Surgery in Östergötland.
Linköping University, Department of Clinical and Experimental Medicine, Surgery. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Sinnescentrum, Department of Plastic Surgery, Hand surgery UHL.
Linköping University, Department of Medical and Health Sciences, Thoracic Surgery. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Thoracic and Vascular Surgery in Östergötland.
2011 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 45, no 3, 174-180 p.Article in journal (Refereed) Published
Abstract [en]

Objective. Pectoral muscle flaps (PMF) are effective in terminating protracted sternal wound infections (SWI) but long-term outcome remains uncertain. Therefore, the aim of this study was to evaluate long-term outcome in patients treated with PMF. Design. Thirty-four of 263 patients revised because of deep SWI from 1991-2005 were treated with PMF. Of the 21 patients alive, 11 had left-sided, two right-sided and eight bilateral procedures. Sternal debridement without closure of the sternum was done in 17 patients. Nineteen of 21 patients responded to a questionnaire. Results. At follow-up on average 5.9 years (range 1.9-14.8 years) after surgery 63% (12/19) experienced unstable chest. Two thirds (12/18) reported problems carrying a grocery bag and 37% (7/19) had problems putting on a coat. Reduction of power and mobility was more common in the right arm and shoulder even in patients with left-sided PMF. Thirty-two percent (6/19) would have preferred alternative treatment if possible to avoid sternal instability even if healing had been substantially delayed. Conclusions. Surgery with PMF and sternal debridement was associated with long-term disability, which appeared to be significant in one third of the patients. The function of the right arm and shoulder was affected more often despite the majority of procedures being left-sided suggesting that loss of skeletal continuity of the chest wall is more disabling than loss of pectoral muscle function.

Place, publisher, year, edition, pages
Informa Healthcare, 2011. Vol. 45, no 3, 174-180 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-68778DOI: 10.3109/14017431.2011.563318ISI: 000290870200008PubMedID: 21405983OAI: oai:DiVA.org:liu-68778DiVA: diva2:421203
Note

Original Publication: Jenny Eriksson, Inger Huljebrant, Hans Nettelblad and Rolf Svedjeholm, Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection, 2011, SCANDINAVIAN CARDIOVASCULAR JOURNAL, (45), 3, 174-180. http://dx.doi.org/10.3109/14017431.2011.563318 Copyright: Informa Healthcare http://informahealthcare.com/

Available from: 2013-04-11 Created: 2011-06-07 Last updated: 2017-12-11Bibliographically approved

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Faculty of Health SciencesÖstergötlands Läns LandstingDepartment of Thoracic and Vascular Surgery in ÖstergötlandSurgeryDepartment of Plastic Surgery, Hand surgery UHLThoracic Surgery
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