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Use of bone chips to improve sternum bone tissue regeneration after median sternotomy in patients with a high risk of sternal dehiscence in cardiac surgery (case report)

https://doi.org/10.29001/2073-8552-2025-40-2-142-149

Abstract

Median sternotomy remains the approach of choice for cardiac, great vessel, and pulmonary surgeries. According to data analysis, postoperative complications after median sternotomy, such as incompetence of the sternal sutures, acute mediastinitis and osteomyelitis of the sternum and ribs, occur in 2–6% of patients. The article discusses a clinical case of the successful use of a new technique aimed at accelerating the processes of regeneration of sternum bone tissue using osteoplastic material in a patient at high risk of sternal dehiscence. The effectiveness of this technique opens up the possibility of its widespread implementation in clinical practice.

About the Authors

M. S. Kuznetsov
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Mikhail S. Kuznetsov, Cand. Sci. (Med.), Research Scientist, Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012



Sh. D. Akhmedov
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Shamil D. Akhmedov, Dr. Sci. (Med.), Professor, Leading Research Scientist, Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012



V. V. Shipulin
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Vladimir V. Shipulin, Research Scientist, Laboratory of Radionuclide Research Methods

111a, Kievskaya str., Tomsk, 634012



V. E. Alyamkin
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Vadim E. Alyamkin, Medical Resident, Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012



I. L. Bukhovets
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Irina L. Bukhovets, Dr. Sci. (Med.), Senior Research Scientist, Department of X-ray and Tomographic Diagnostic Methods

111a, Kievskaya str., Tomsk, 634012

 



A. M. Gusakova
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Anna M. Gusakova, Cand. Sci. (Pharm.), Senior Research Scientist, Department of Functional and Laboratory Diagnostics

111a, Kievskaya str., Tomsk, 634012



N. L. Afanasyeva
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Natalia L. Afanasyeva, Cand.  Sci.  (Med.),  Cardiologist,  Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012



B. N. Kozlov
Research Institute of Cardiology, Tomsk National Research Medical Center of the Russian Academy of Sciences
Russian Federation

Boris N. Kozlov, Dr. Sci. (Med.), Head of the Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012



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For citations:


Kuznetsov M.S., Akhmedov Sh.D., Shipulin V.V., Alyamkin V.E., Bukhovets I.L., Gusakova A.M., Afanasyeva N.L., Kozlov B.N. Use of bone chips to improve sternum bone tissue regeneration after median sternotomy in patients with a high risk of sternal dehiscence in cardiac surgery (case report). Siberian Journal of Clinical and Experimental Medicine. 2025;40(2):142-149. (In Russ.) https://doi.org/10.29001/2073-8552-2025-40-2-142-149

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ISSN 2713-2927 (Print)
ISSN 2713-265X (Online)