Mechanical comparison of median sternotomy closure in dogs using polydioxanone and wire sutures

Abstract

This study cannot recommend the use of polydioxanone over wires but suggests that polydioxanone can potentially be an alternative for primary median sternotomy closure in selected patients.

Mechanical comparison of monofilament nylon leader and orthopaedic wire for median sternotomy closure

“…The sternotomy was performed leaving the manubrium intact as this results in increased stability of the sternotomy closure and was in accordance with previously published research and clinical studies (Burton & White , Pelsue et al , Orton , Gines et al ). Leaving the manubrium intact is likely to increase the stiffness and load at yield of the constructs but further studies are warranted to evaluate this.…”

Complications after thoracic surgery: don't (necessarily) blame it on the approach

“…) and appears biomechanically equivalent to wiring (Gines et al . ). There is clearly a need to look prospectively at these methods in veterinary patients.…”

An open randomized controlled trial of median sternotomy versus anterolateral left thoracotomy on morbidity and health care resource use in patients having off-pump coronary artery bypass surgery: The Sternotomy Versus Thoracotomy (STET) trial

“…The common belief is that we should use wire to close a sternotomy (Pelsue et al 2002). However, monofilament suturing of the sternum is common in human surgery (Luciani et al 2006) and appears biomechanically equivalent to wiring (Gines et al 2011). There is clearly a need to look prospectively at these methods in veterinary patients.…”