A new method of sternal approximation

Abstract

After sternotomy for a cardiac operation in adults, closure of the sternum is accomplished with five or six wire sutures with twisting of the wire ends. This method may not achieve rigid fixation of the sternum, and the bulky twisted wires may cause skin pain or actual perforation. We have developed a new method of approximating the split sides of the sternum using a new in-

Design & development of a novel glass polyalkenoate cement for sternal fixation and repair, in the event of median sternotomy surgery

“…Several other studies [59][60][61][62][63][64][65][66][67][68][69] considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al [23] who reported complications from SS sutures including poor sternal healing, dehiscence, SWI and sternal separation in 0.5-2.5% of cases.…”

Design & development of a novel glass polyalkenoate cement for sternal fixation and repair, in the event of median sternotomy surgery

“…Several other studies [59][60][61][62][63][64][65][66][67][68][69] considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al [23] who reported complications from SS sutures including poor sternal healing, dehiscence, SWI and sternal separation in 0.5-2.5% of cases.…”

A review of sternal closure techniques

“…Many other studies 37–47 considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al.…”

Late Complications of Chest Wall Reconstruction: Management of Painful Sternal Nonunion

“…during physiologic respiration in the early postoperative period, parallels the axis of the wire and can cut or fracture the bone. 8,9 When undiagnosed, this loss of fixation results in movement at the bone-bone interface and subsequent nonunion. 6 Although cardiothoracic surgery accounts for the majority of cases, sternal nonunion can also occur after blunt chest trauma.…”

Design & development of a novel glass polyalkenoate cement for sternal fixation and repair, in the event of median sternotomy surgery

“…Several other studies [59][60][61][62][63][64][65][66][67][68][69] considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al [23] who reported complications from SS sutures including poor sternal healing, dehiscence, SWI and sternal separation in 0.5-2.5% of cases.…”

A review of sternal closure techniques

“…Many other studies 37–47 considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al.…”

Late Complications of Chest Wall Reconstruction: Management of Painful Sternal Nonunion

“…during physiologic respiration in the early postoperative period, parallels the axis of the wire and can cut or fracture the bone. 8,9 When undiagnosed, this loss of fixation results in movement at the bone-bone interface and subsequent nonunion. 6 Although cardiothoracic surgery accounts for the majority of cases, sternal nonunion can also occur after blunt chest trauma.…”

Design & development of a novel glass polyalkenoate cement for sternal fixation and repair, in the event of median sternotomy surgery

“…Several other studies [59][60][61][62][63][64][65][66][67][68][69] considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al [23] who reported complications from SS sutures including poor sternal healing, dehiscence, SWI and sternal separation in 0.5-2.5% of cases.…”

A review of sternal closure techniques

“…Many other studies 37–47 considered different wiring and cabling techniques for sternal fixation. However, this was contradicted by Gunja et al.…”

Late Complications of Chest Wall Reconstruction: Management of Painful Sternal Nonunion

“…during physiologic respiration in the early postoperative period, parallels the axis of the wire and can cut or fracture the bone. 8,9 When undiagnosed, this loss of fixation results in movement at the bone-bone interface and subsequent nonunion. 6 Although cardiothoracic surgery accounts for the majority of cases, sternal nonunion can also occur after blunt chest trauma.…”