Rigid Plate Fixation for Sternal Closure

Saxena, Pankaj, and Raman, Jaishankar (2022) Rigid Plate Fixation for Sternal Closure. Operative Techniques in Thoracic and Cardiovascular Surgery, 27 (2). pp. 152-160.

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Median sternotomy provides standard access in cardiac surgery. Sternal closure traditionally involves use of stainless steel wires with satisfactory results. Fixation of sternum using titanium plates with screws has been used in some institutions over the last two decades. This technique uses sternal wires in combination with a rigid plate fixation system. The wires are passed at the manubrium and xiphoid to help with approximation, while plates are used to fix the body of the sternum. The screws are passed through the outer table and penetrate the inner table of the sternum. There is increasing evidence to suggest that rigid plate fixation provides better mechanical stability of sternum; which seems to translate to less post-operative pain; better healing of sternum; lower incidence of deep sternal wound infection and sternal non-union. This approach is particularly useful in patients who have multiple risk factors predisposing them to post-operative sternal complications.

Item ID: 74754
Item Type: Article (Research - C1)
ISSN: 1532-8627
Keywords: cardiac surgery, Median sternotomy, sternal plate fixation
Copyright Information: © Crown Copyright 2021 Published by Elsevier Inc. All rights reserved.
Date Deposited: 16 Nov 2022 06:22
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320226 Surgery @ 100%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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