Rigid plate fixation for primary sternal closure in patients at high risk of deep sternal wound infection and for secondary sternal closure after mediastinitis

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
R Petzina ◽  
C Stamm ◽  
A Navasardyan ◽  
R Hetzer
Keyword(s):  
High Risk ◽  
Wound Infection ◽  
Plate Fixation ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Rigid Plate ◽  
Sternal Closure

scholarly journals Improved results of the vacuum assisted closure and Nitinol clips sternal closure after postoperative deep sternal wound infection

2009 ◽  
Vol 35 (5) ◽  
pp. 833-838 ◽  
Author(s):  
Maria Pia Tocco ◽  
Alberto Costantino ◽  
Milva Ballardini ◽  
Claudio D’Andrea ◽  
Marcello Masala ◽  
...  
Keyword(s):  
Wound Infection ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
Sternal Closure

scholarly journals Initial Report of a New Suture Cerclage Tape for Sternal Closure

2021 ◽  
Author(s):  
Paul DiGiorgi
Keyword(s):  
Wound Infection ◽  
Bone Fractures ◽  
Steel Wire ◽  
Long Bone ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Initial Report ◽  
Sternal Closure ◽  
Measurable Amount ◽  
Wire Cerclage

PURPOSE: We sought to evaluate a new, flexible suture cerclage tape for sternal closure after cardiac surgery. DESCRIPTION: Fiber Tape (Arthrex, Naples, FL, USA) suture cerclage has been successfully utilized in the stabilization of long bone fractures. For sternal closure, it is placed similarly to wire cerclage. Uniquely, it allows a measurable amount of tension to be applied to the sternum and it is at least twice as strong as stainless steel wire. We hypothesized this new flexible tape would provide short term safety and efficacy, as measured by incidence of deep sternal wound infection. EVALUATION: We performed a retrospective, single center analysis of adult patients undergoing sternotomy closure with FT. The observed incidence of deep sternal wound infection (DSWI) was compared to the expected incidence calculated through the Society of Thoracic Surgery (STS) risk calculator. A total of 45 patients were closed with FT. No patients suffered DSWI. Thirty of the 45 patients had STS risk calculations. For these 30 patients, the expected rate of DSWI was 0.2%. CONCLUSIONS: Despite study limitations, FT appears to be a safe method for sternal closure.

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