Sternal Staple: Simple and Rapid Device for Closure of Median Sternotomy

Al-Naaman, Yousif D.; Al-Ani, Muhamad S.

doi:10.1016/s0003-4975(10)64284-1

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…Transsternal circumferential wires were placed through holes in the struts with resulting good sternal stability. Al-Naaman and AI-Ani [42] used stainless steel staples bridging the median sternotomy incision in 32 patients and encountered no complications or loosening of the staples, Osada et al [43] used a combination of staples and circumferential wires in 20 patients with overall good results. They measured how far the staples backed out, and considered sternal fragility as a likely cause.…”

Section: Other Techniquesmentioning

confidence: 99%

Primary Closure of Median Sternotomy: Techniques and Principles

Losanoff

Jones

Richman

2002

Cardiovascular Surgery

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Understanding the biomechanics of midline sternotomy repair is important to successful surgical outcome. High-risk patients, particularly those with immunosuppression, diabetes, and osteoporosis, should be identified. Details of technique should be monitored, and closure should incorporate lateral support of the sternum in patients at risk. Sternal dehiscence can occur under physiologic loads. Closure techniques and materials should insure stable repair, with avoidance of material migration through the bone.

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Section: Other Techniquesmentioning

confidence: 99%

Primary Closure of Median Sternotomy: Techniques and Principles

Losanoff

Jones

Richman

2002

Cardiovascular Surgery

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“…18 Other adjuncts, such as staples, have also been used to bridge the median sternotomy or anchor transsternal wires, with acceptable results. [43][44][45] The Dall-Miles crimped cable grip system (Howmedica, Inc., Rutherford, NJ), typically used for repair of femoral neck fractures, has also been used for primary and secondary sternal fixation. 46 In this technique, four 2.0-mm Dall-Miles cables are passed through subperiosteal tunnels around the sternum.…”

mentioning

confidence: 99%

Late Complications of Chest Wall Reconstruction: Management of Painful Sternal Nonunion

Chepla¹,

Salgado²,

Tang³

et al. 2011

Seminars in Plastic Surgery

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Although rare, sternal nonunion after median sternotomy or traumatic injury is associated with a high rate of morbidity. Pain and sternal clicking are two of the most common complaints and reasons these patients seek evaluation and treatment. Diagnosis of sternal nonunion is based on a thorough history and physical examination and can be confirmed with subsequent radiographic imaging. The treatment for symptomatic sternal nonunion requires stable fixation of the bony fragments and chest wall after the debridement of all nonviable bony and soft tissue by the cardiothoracic or reconstructive surgery team. Multiple fixation techniques have been described and incorporate a wide variety of materials including combinations of wires, cables, pins, bands, staples, and plates. Most recently, several new commercially available plating systems have demonstrated low recurrence and complication rates and resolution of the patient's symptoms on follow-up evaluation. Included in this review are three cases demonstrating the management of symptomatic sternal nonunion using these new techniques and review the history, diagnosis, risk factor, and classification, as well as several of the previously described fixation methods.

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“…Am h/iufigsten wird monofiler Stahldraht, der durch Verdrillung gespannt wird, benutzt [5,11,19,20]. Weiterhin wurden Stahlkrampen [1] und Stahlb/inder [10] zur Verbindung der Sternumh/ilften beschrieben. Weiterhin wurden Stahlkrampen [1] und Stahlb/inder [10] zur Verbindung der Sternumh/ilften beschrieben.…”

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Verschlu� der medianen Sternotomie mit resorbierbaren Kunststoffkordeln

Greve

Clajus

Dittrich

1986

Langenbecks Arch Chiv

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To date, the refixation of the bone halves after median sternotomy is accomplished with wire, steel bands or thick, not absorbable plastic threads. As the first, we used absorbable synthetic strings in 25 patients. During the absorbtion the development of a very strong bone scar was possible, because the absorbtion lasted very long. The refixation of the sternum in cases of aseptic instability was even possible. So we think to have found another range of application for absorbable synthetic material which recently has been used more and more in several parts of operative medicine, even in hard burdened connective tissue.

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Sternal Staple: Simple and Rapid Device for Closure of Median Sternotomy

Cited by 8 publications

References 7 publications

Primary Closure of Median Sternotomy: Techniques and Principles

Primary Closure of Median Sternotomy: Techniques and Principles

Late Complications of Chest Wall Reconstruction: Management of Painful Sternal Nonunion

Verschlu� der medianen Sternotomie mit resorbierbaren Kunststoffkordeln

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