Table 6 Classification based on Assiduous Mediastinal Sternal Debridement & Aimed Management
From: Review on risk factors, classification, and treatment of sternal wound infection
Classification | Sternal stability | Bone vitality and stock | Reconstruction | Phased reconstruction |
|---|---|---|---|---|
Type I | Stable | Reasonable | NPWT | (class I, level B) |
Type Iia | - | - | Local muscle flap* | Primary (classII, level B) |
Type Iib | - | - | Muscle** or Omentum flap | Delayed (class I, level B) |
Type IIIa | Unstable | Viable & sufficient | Rewiring/osteosynthesis | Primary Delayed (class Iib, level B) |
Type IIIb | - | - | Rewiring/osteosynthesis and muscle** or omentum flap | Primary Delayed ^(class Iib, level B) |
Type Iva | - | Necrotic & insufficient | Muscle flap | Primary Delayed (class Iib, level B) |
Type Ivb | - | - | Omentum flap | (class Iib, level B) |
Type Ivc | - | - | Muscle and Omentum flap | (class Iib, level B) |