Sternal Closure With Rigid Plate Fixation Versus Wire Closure: A Randomized Controlled Multicenter Trial

Raman, Jaishankar; Lehmann, Sven; Zehr, Kenton J.; Guzman, Brian J. De; Aklog, Lishan; Garrett, H. Edward; MacMahon, Heber; Hatcher, Brian M.; Wong, Michael S.

doi:10.1016/j.athoracsur.2012.07.085

Cited by 100 publications

(106 citation statements)

References 24 publications

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“…They saw significant lower non union of the sternum with rigid plate fixation than with wire cerclage. The hypothesis is that a higher biomechanical stability leads to a better bone healing (36). It is obvious that a conservative treatment of sternum fractures has the lowest mechanical stability of all.…”

Section: Discussionmentioning

confidence: 99%

Do low profile implants provide reliable stability in fixing the sternal fractures as a “fourth vertebral column” in sternovertebral injuries?

Krinner¹,

Grupp²,

Oppel³

et al. 2017

J. Thorac. Dis.

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Section: Discussionmentioning

confidence: 99%

Do low profile implants provide reliable stability in fixing the sternal fractures as a “fourth vertebral column” in sternovertebral injuries?

Krinner¹,

Grupp²,

Oppel³

et al. 2017

J. Thorac. Dis.

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“…This osteotomy is typically closed at the completion of the procedure with wire cerclage, although in recent years, there has been increasing interest in rigid plate fixation of the sternum [2][3][4][5][6][7][8][9][10]. The assessment of sternal healing has been limited by crude methods of clinical assessment rather than a truly objective test-unless there was evidence of sternal dehiscence.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Sternal Bone Healing with Computed Tomography and a Quantitative Scoring Algorithm

Stacy¹,

Ahmed²,

Richardson³

et al. 2014

TOMIJ

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Abstract:Objective: The exquisite bone detail offered by computed tomography makes it the ideal modality for evaluation of bone healing. However, few studies have investigated the normal computed tomographic appearance of the sternum after median sternotomy and, to the best of our knowledge, no computed tomographic classification of sternal healing has been proposed. Given the potential benefit of objective criteria, we propose a validated scoring classification of sternal healing using computed tomography for both clinical and investigational purposes.Methods: Computed tomography scans from 20 patients who underwent a median sternotomy were evaluated for sternal healing at either 3 or 6 months postoperatively. Five anatomic locations along the sternum were selected using defined criteria, and a 6-point quantitative scale was developed to evaluate sternal healing. Independent radiologists read and scored each of the 5 locations on the sternum. Inter-and intra-observer variability was assessed by calculating the kappa statistics to measure the reliability of the scoring algorithm.Results: Calculation of the kappa statistics indicated substantial agreement for intra-observer variability and substantial to almost perfect agreement for inter-observer variability. For intra-observer variability, the kappa statistics ranged from 0.591 to 0.802, and for inter-observer variability, the kappa statistics ranged from 0.590 to 0.969. When the two radiologists differed, the magnitude of the difference was no more than 1 or 2 points. Conclusion:This simple system of evaluating sternal healing had high inter-and intra-observer reliability. Therefore, it may be considered a valid method for assessing sternal osteosynthesis for both clinical and investigative purposes.Ultramini abstract: (49 words): Few studies have investigated the normal computed tomography appearance of the sternum after median sternotomy, and we knew of no computed tomography-based classification of sternal healing. Given the potential benefit of objective criteria, we designed and validated a scoring classification of sternal osteosynthesis for both clinical and investigational purposes.

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“…But this technique is somehow troublesome and if care is not taken unwanted devastating results can be occur in osteoporotic patients (7) . Thermoreactive nitinol clips, rigid plate fi xation, sternum external fi xation corset, kryptonite bone adhesive, sternoband studies shows their effectiveness to prevent dehiscence, but it's obvious that these materials will increase hospital costs in some degree (8)(9)(10)(11)(12) .…”

Section: Discussionmentioning

confidence: 99%

Effects of Polyglyconate (Maxon) Suture Reinforced Sternum Closure Technique on Aseptic Sternal Dehiscence in High Risk Patients

Ata¹,

Dereli²

2015

Kosuyolu Heart Journal

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Despite improvements in surgical techniques, anesthesia and antibiotic treatment, postoperative sternal dehiscence still represents a signifi cant and serious complication after cardiac operations. Treatment of this condition is both time and economic resource consuming process. The origin of this condition has multiple causes and includes factors such as obesity, chronic obstructive pulmonary disease (COPD) and osteoporosis. The

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Sternal Closure With Rigid Plate Fixation Versus Wire Closure: A Randomized Controlled Multicenter Trial

Cited by 100 publications

References 24 publications

Do low profile implants provide reliable stability in fixing the sternal fractures as a “fourth vertebral column” in sternovertebral injuries?

Do low profile implants provide reliable stability in fixing the sternal fractures as a “fourth vertebral column” in sternovertebral injuries?

Evaluation of Sternal Bone Healing with Computed Tomography and a Quantitative Scoring Algorithm

Effects of Polyglyconate (Maxon) Suture Reinforced Sternum Closure Technique on Aseptic Sternal Dehiscence in High Risk Patients

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