... 2009, 36 :33 5 -33 9.5. El-Ansary D, Waddington G, Adams R: Control of separation in sternalinstability by supportive devices: a comparison of an adjustablefastening brace, compression garment, and ... presentation: We report a case of painful sternal instability following open heart surgery in a 74-year-oldCaucasian man. The complicating factors of obesity (body mass index of 40), renal failure, ... patient and the reasons for persisting pain. AKconducted the continuous primary health care, tailoring of the pragmaticsupportive therapy and follow-up of our patient, and was a majorcontributor...