2000
DOI: 10.1055/s-2000-9945 View full text |Buy / Rent full text
|
|

Abstract: The purpose of this paper is to discuss sternal instability a problem occasionally associated with midline sternotomy, including the etiology, predisposing conditions, diagnosis and management. Among the methods of repair, sternal weaving and pectoralis muscle advancement are thought to be especially effective.

Help me understand this report

Search citation statements

Order By: Relevance
Select...
4
1
6
136
1
7

Year Published

2011
2011
2014
2014

Publication Types

Select...
3

Relationship

0
3

Authors

Journals

6
136
1
7
Order By: Relevance
“…There is a general consensus that bone wax may affect the consolidation of the sternum [5], which is particularly important in patients at high risk for sternal complications, such as elderly, obese, diabetic, pulmonary disease, chronic renal failure and patients on corticosteroid therapy [6 -13]. The sternal dehiscence can significantly prolong the hospital stay and become a lethal complication.…”
Section: Discussionmentioning
Create an account to read the remaining citation statements from this report. You will also get access to:
  • Search over 1.2b+ citation statments to see what is being said about any topic in the research literature
  • Advanced Search to find publications that support or contrast your research
  • Citation reports and visualizations to easily see what publications are saying about each other
  • Browser extension to see Smart Citations wherever you read research
  • Dashboards to evaluate and keep track of groups of publications
  • Alerts to stay on top of citations as they happen
  • Automated reference checks to make sure you are citing reliable research in your manuscripts
  • 7 day free preview of our premium features.

Trusted by researchers and organizations around the world

Over 130,000 students researchers, and industry experts at use scite

See what students are saying

rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…There is a general consensus that bone wax may affect the consolidation of the sternum [5], which is particularly important in patients at high risk for sternal complications, such as elderly, obese, diabetic, pulmonary disease, chronic renal failure and patients on corticosteroid therapy [6 -13]. The sternal dehiscence can significantly prolong the hospital stay and become a lethal complication.…”
Section: Discussionmentioning
“…Previously reported preoperative risk factors for SD are obesity [2][3][4][5][6][7][8], Diabetes mellitus (DM) [9], chronic obstructive pulmoner disease (COPD) [2][3][4][5][6][7][8][9], chronic cough [10], smoking [2,3], New York Heart Association (NYHA) functional class [11] , osteoporosis [1,2], use of acetylcholinesterase (ACE) inhibitors [10],use of ß-adrenergic drugs for respiratory problems [11], immunosuppression [2][3][4][5][6][7][8][9], and previous sternotomy [9] . Operative risk factors are bilateral internal mammary artery (IMA) harvest [9], excessive amounts of blood transfusion [11], off-midline sternotomy [12], and prolonged cardiopulmonary bypass (CPB) time [3].…”
Section: Introductionmentioning
“…Sternal motion and instability may occur in the first days or weeks after MS owing to technical issues with the bone, wire, or surgical technique. This may resolve and heal normally, or it may lead to dehiscence because of fracture of the sternal bone or the sternal wires [2]. SD with or without infection can occur in 0.2% to 5% of patients as a result of primary nonunion, poor wound healing, or premature overexertion [2][3][4][5][6][7].…”
Section: Introductionmentioning
“…Sternal dehiscence can be non-infectious (biomechanical failure occurring in 0.2-5%) or infectious (deep sternal wound infection-DSWI in 0.3-5%) [1][2][3]. Biomechanical failure is usually due to sternal wire cut-through [4]; that is, sterile dehiscence; whereas DSWI is associated with the signs and symptoms of an infected surgical site.…”
Section: Introductionmentioning
“…Sternal wound complications are associated with intensive medical therapy, prolonged in-hospital stay and a high mortality rate [6]. The multitude of independent risk factors influencing the incidence of DSWI implies the complexity of the pathology [1,2,[7][8][9]. Prevention of DSWI should be focused on achieving mechanical sternal stability and preventing infection.…”
Section: Introductionmentioning