Sternal closure with absorbable pins and cords in general thoracic surgery

Kawashima, M; Tanaka, Makoto

doi:10.1007/s00595-014-1092-0

Cited by 2 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The PLLA sternal pin has orthopaedic bioactivity. 21 It has been reported that this bioabsorbable pin could significantly improve the stability of sternal closure in adults and older children who received a median sternotomy. 19 A mechanical study showed that the sternal pin could prevent sternal displacement in the anterior and posterior as well as the head-tail direction.…”

Section: Discussionmentioning

confidence: 96%

Sternal Pin Used to Close Sternum in Infants after Cardiac Surgery

Xie

Chen

Zhou

et al. 2023

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Objective A retrospective study was conducted to explore the efficacy of bioabsorbable poly-L-lactic acid sternal pins in sternal closure in infants after cardiac surgery. Methods A total of 170 infantile patients who underwent cardiac surgery were divided into the steel wire group (group A), the PDS cord group (group B), and the steel wire + sternal pin group (group C). The occurrence of the thoracic deformity was evaluated by vertebral index (VI), frontosagittal index (FSI), and Haller index (HI) values; the stability of the sternum was evaluated by detecting sternal dehiscence and displacement. Results By comparing the absolute values of the differences in VI, FSI, and HI in the three groups, it was found that the difference values of VI and HI in group C were significantly lower than those in group B (p = 0.028 and 0.005). For the highest deformation index, the deformation rate of infants in group C before discharge and during the 1-year follow-up was lower than that in group A and group B (p = 0.009 and 0.002, respectively). The incidence of sternal displacement in group C was also significantly lower than that in groups A and B (p = 0.009 and 0.009). During the 1-year follow-up, there was no sternal dehiscence, and the sternum healed completely in the three groups. Conclusion The use of “steel wire + sternal pin” for sternal closure in infants after cardiac surgery can reduce the occurrence of sternal deformity, reduce anterior and posterior displacement of the sternum, and improve sternal stability.

show abstract

Section: Discussionmentioning

confidence: 96%

Sternal Pin Used to Close Sternum in Infants after Cardiac Surgery

Xie

Chen

Zhou

et al. 2023

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

Reabsorbable Pins can Reinforce an Early Sternal Stability After Median Sternotomy in Young Children with Congenital Heart Disease

Fan

Tang

et al. 2019

Pediatr Cardiol

View full text Add to dashboard Cite

We evaluated the efficacy of bioresorbable sternal reinforcement device (poly-l-lactide sternal pins) on sternal healing after median sternotomy in young children (with body weight less than 10 kg) with congenital heart disease (CHD). Data from 85 patients, who underwent CHD surgery through median sternotomy from October 2016 to May 2018, were collected and analyzed. Sternal pins were utilized in 85 patients (10 mm × 1 mm × 1 mm for patients with body weights less than 5 kg and 15 mm × 2 mm × 2 mm for those weighing between 5 and 10 kg) in addition to sternum closure with Ethicon PDS TM II running sutures (Group A), while 84 patients received the Ethicon sternal closure (Group B) with no pins. The occurrence of sternal dehiscence, anterior-posterior displacement, and high-low displacement was evaluated by physical examination and three-dimensional computed tomography at one month postoperatively. No anterior-posterior sternal displacement (0%) was observed in Group A, while 10 anterior-posterior displacements (11.9%) were observed in Group B (P < 0.01). The number of sternal caudal-cranial displacements in Groups A and B was 4 (4.71%) and 5 (5.35%), respectively (P = 0.870). While no sternal dehiscence (0%) was observed in Group A, 7 out of 84 patients (8.33%) in Group B exhibited obvious sternal dehiscence (P < 0.01). The bioresorbable poly-l-lactide sternal pins reduced an anterior-posterior sternal displacement and sternal dehiscence, which was accompanied by a significant improvement of an early sternal fixation.

show abstract

Sternal closure with absorbable pins and cords in general thoracic surgery

Cited by 2 publications

References 9 publications

Sternal Pin Used to Close Sternum in Infants after Cardiac Surgery

Sternal Pin Used to Close Sternum in Infants after Cardiac Surgery

Reabsorbable Pins can Reinforce an Early Sternal Stability After Median Sternotomy in Young Children with Congenital Heart Disease

Contact Info

Product

Resources

About