Subscribe to RSS
Download PDF
DOI: 10.1055/s-0039-1696949
A Technique for 360-Degree Rigid Sternal Fixation with Sternal Plates and Wire Cerclage
Abstract
Sternal instability after cardiac surgery can lead to poor bony healing, as well as deep sternal wound infections and mediastinitis. Rigid plate fixation is associated with greater stability and fewer complications compared with wire cerclage, however, rigid plate fixation alone lacks posterior stability of the sternum and may be less effective in morbidly obese or osteoporotic patients. This article describes a surgical technique of combined rigid plate fixation and wire cerclage that provides 360-degree stabilization for sternotomies in high-risk patients. We employed this technique in 40 patients with no incidence of deep sternal wound infection.
Publication History
Received: 27 May 2019
Accepted: 05 August 2019
Article published online:
20 September 2019
© 2020. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Kuo JH, Quan E, Young N, Wong MS. Cost analysis of rigid sternal fixation versus modified wire techniques for primary sternal closure of high risk sternotomy patients. Plast Reconstr Surg 2011; 124: 47
- 2 Raman J, Lehmann S, Zehr K. et al. Sternal closure with rigid plate fixation versus wire closure: a randomized controlled multicenter trial. Ann Thorac Surg 2012; 94 (06) 1854-1861
- 3 Snyder CW, Graham LA, Byers RE, Holman WL. Primary sternal plating to prevent sternal wound complications after cardiac surgery: early experience and patterns of failure. Interact Cardiovasc Thorac Surg 2009; 9 (05) 763-766
- 4 Nishimura T, Kurihara C, Sakano Y, Kyo S. Sternalock plating system for elderly post-sternotomy patients. J Artif Organs 2014; 17 (03) 288-290
- 5 CR 0614S (Clinical Study Report) SternaLock 360 Study, 2015–17, an evaluation of SternaLock 360 for sternal closure: a prospective, single-center trial of 50 total patients undergoing full midline sternotomy. Accessed August 20, 2018 at: www.zbthoracic.com/sternalocu-blu-study-sternal-closure/; https://clinicaltrials.gov/ct2/show/NT02686099