Interlocking Multi-Twisted Wires Versus Interrupted Simple Sternal Wires for Closure of Median Sternotomy
Mourad, Faisal; Ali, Ihab;
Abstract
Although closure of a sternotomy incision is usually a simple procedure, failure to do so (sternal dehiscence) is a serious complication and is an independent factor that poses a high degree of morbidity or mortality after open heart surgery. Instability of the bone fragments can lead to complete sternal breakdown, sternal wound infection, and mediastinitis. The stainless-steel encircling wire used as either interrupted simple sutures or as figure of eight sutures is the current standard method of median sternotomy closure. Interlocking multi-twisted sternal wire closure is an alternative that provides rigid sternal fixation. We aim to identify the best method of sternal closure in order to implement it as a standardised protocol for our department.
Other data
Title | Interlocking Multi-Twisted Wires Versus Interrupted Simple Sternal Wires for Closure of Median Sternotomy | Authors | Mourad, Faisal; Ali, Ihab | Issue Date | 2021 | Journal | The heart surgery forum | Volume | 24 | Issue | 2 | ISSN | 1522-6662 1098-3511 |
DOI | 10.1532/hsf.3663 | PubMed ID | 33891541 |
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