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The Journal of Cardiovascular Surgery 1998 December;39(6):833-7

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Combined use of single and double-cross steel wires for closure of midline sternotomy

Mariani M. A., Vaccari G., Marullo A., Cevenini G.*, Tripodi A., Lisi G., Mazzesi G., Mezzacapo B., Sani G., Toscano M.

From the Institute for Thoracic and Cardiovascular Surgery, and *Institute for Biomedical Technologies University of Siena, Italy


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Background. We describe an improved technique for sternal closure which is performed using combined single and double-cross steel wires. We made a mechanical study of these single and double-cross shapes considering the effects of applied transverse and longitudinal shearing forces.
Methods. We used this technique in 80 patients who underwent coronary surgery with the use of bilateral internal mammary arteries.
Results. Among them no major wound complications occurred, and in all cases a firm stabilization of the sternum was achieved.
Conclusions. We therefore consider this technique of sternal closure easy, safe and effective, also in patients considered at risk for sternal dehiscence.

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