Sternal semi-closure using a bioresorbable osteosynthesis device: a new method for delayed sternal closure

Tanaka, Yuki; Miyamoto, Takashi; Naito, Yuji; Yoshitake, Shuichi; Sasahara, Akihiro; Miyaji, Kagami

doi:10.1007/s00595-018-1652-9

Cited by 10 publications

(11 citation statements)

References 21 publications

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“…26 Staged closure using a binder clip was described by Fuchigami et al 27 Tanaka et al revealed a semisternal closure with bioresorbable osteosynthesis device. 28 This is not available at our center. We used the blood collection bag, which can be used as a polyurethane sheet for covering the open sternum in the management of DSC.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Delayed Sternal Closure in Paediatric Cardiac Surgical Patients–A Prospective Single Centre Study

Vaswani

Sahu

Bipin

et al. 2020

Journal of Cardiac Critical Care TSS

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Background Delayed sternal closure (DSC) is being increasingly used as an interim support to help the dysfunctional heart in the road to recovery after complex pediatric cardiac surgeries. The purpose of this study was to assess the conduct of DSC at a tertiary care center. Methods Between 2018 and 2019, 185 consecutive pediatric patients (below 12 years of age) underwent cardiac surgery at a tertiary care center. The incidence and causes of DSC were noted. The various pre, intra and postoperative factors till discharge or demise were noted and analyzed. Results In this study, DSC was done in 63 patients (34.05%) with a median age and weight of 29 days (18–100 days) and 4 kg (2–12.3 kg), respectively. Transposition of great arteries (TGA) (41.27%) constituted the majority, followed by total anomalous pulmonary venous connection (TAPVC) (26.98%). Myocardial edema (49.21%) was the most common indication for DSC. Mean duration of open chest was 40.75 ± 18.58 hours. All-cause mortality was 19.05% (12/63). On multivariate analysis by logistic regression, the independent predictors of mortality were needed for preoperative mechanical ventilation (OR 42.82, 95% CI = 4.52–406.03, p < 0.001) and development of postoperative sepsis (OR 20.07, 95% CI = 2.12–189.80, p = 0.002). Conclusions DSC is a safe and effective technique in the management of complex pediatric cardiac surgeries. It provides assistance to the severely dysfunctional myocardium soon after the surgery and helps in stabilization of hemodynamics with avoidance of postoperative mediastinal compression. Early sternal closure should be considered on the basis of cardiovascular function and/or resolution of primary indication for DSC.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Delayed Sternal Closure in Paediatric Cardiac Surgical Patients–A Prospective Single Centre Study

Vaswani

Sahu

Bipin

et al. 2020

Journal of Cardiac Critical Care TSS

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“…Tanaka et al [12] reported that postoperative respiratory and hemodynamic condition were more stable with SFMX in fixing median sternotomy after congenital cardiac surgery. Sakashita et al [15] confirmed fixation sternotomy with SFMX promoted bone stability and decreased post-surgical pain.…”

Section: Discussionmentioning

confidence: 99%

“…SFMX has already been used for fixing rib fracture [9,10] or repair of flail chest [11]. Even more, Tanaka et al [12] reported that postoperative respiratory and hemodynamic condition were more stable with SFMX in fixing median sternotomy after congenital cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of sternal closure with bioresorbable plate in respiratory function after coronary artery bypass grafting

Tamura

Maruyama

Sakurai

2018

Gen Thorac Cardiovasc Surg

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“…3,4 Different methods for sternal fixation, including different suture patterns, different steel wire quantities and novel titanium devices, have been tested to reduce mortality, morbidity, hospital stay, overall costs and psychological distress. [4][5][6][7][8] However, metallic implants may increase the inconvenience for some patients in the scenario of magnetic resonance imaging scans, security checks and personal privacy. Polyetheretherketone (PEEK) is a polyaromatic thermoplastic polymer with satisfactory biocompatibility and mechanical properties that has already been widely used in various surgical fields, including spine surgery, orthopaedic surgery and maxillo-facial surgery.…”

Section: Introductionmentioning

confidence: 99%

Comparison of polyetheretherketone cables and stainless steel wires for sternal fixation after median sternotomy

Shu

Zhao

et al. 2021

J Int Med Res

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Objective To compare the sternal fixation effect of a polyetheretherketone (PEEK) cable product and stainless steel wire after median sternotomy. Methods A multicentre retrospective clinical trial was conducted in patients that underwent median sternotomy for a range of surgical reasons. The sternum was fixed using PEEK sternal cables in the experimental group and stainless steel wires in the control group. The general patient state, product manoeuvrability, bone and wound healing state and blood test results were evaluated at seven visits during the preoperative, surgical and follow-up periods. Results A total of 108 patients (54 in each group) were included in the analysis at the final 180-day follow-up. The sternum was successfully closed using PEEK cables or steel wires in all patients and all healed well. No pathological changes were found on the X-ray imaging. Computed tomography imaging confirmed ideal fracture healing. No significant difference was found between the experimental group and the control group in outcomes. Conclusion PEEK cables are easy to implant and show desirable effectiveness in sternal fixation without any observed side-effects.

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Sternal semi-closure using a bioresorbable osteosynthesis device: a new method for delayed sternal closure

Abstract: The sternal semi-closure method decreases pulmonary and cardiac instability during DSC, making early DSC possible.

Cited by 10 publications

References 21 publications

Outcomes of Delayed Sternal Closure in Paediatric Cardiac Surgical Patients–A Prospective Single Centre Study

Outcomes of Delayed Sternal Closure in Paediatric Cardiac Surgical Patients–A Prospective Single Centre Study

Usefulness of sternal closure with bioresorbable plate in respiratory function after coronary artery bypass grafting

Comparison of polyetheretherketone cables and stainless steel wires for sternal fixation after median sternotomy

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