Fig. 1

a A failed fixation of the transverse sternal nonunion with one-third tubular plate and tension wiring. b 3D reconstruction of the CT showing a big chest wall defect resulting from sternal nonunion and rib resection. c Intraoperative view of the sternal fixation with a locking tibial plate and closure of the remaining chest wall defects with two Gore-Tex dual mesh membranes