Abstract: Objective To observe the treatment of Modified Robicsek and bilateral pectoralis major muscle flap for sternal dehiscence  after open heart surgery.
Methods February 2012  November 2019 17 cases of patients with sternal dehiscence after cardiac surgery were treated  by modified Robicsek  to reseat the sternum, bilateral pectoralis major muscle flap repaired the defect.
Results All the patients were with fixed sternum, muscle flaps survived well without necrosis was 100%. Sternal dehiscence without recurrence, muscle flap repaired the sternum effectively and surrounded tissue defect after surgical debridement, repaired the wound zone satisfactory.
Conclusion The treatment of Modified Robicsek  and bilateral pectoralis major muscle flap for   sternal dehiscence after open heart surgery is safe and effective.

Key words: sternum, dehiscence, fixed, flap surgery