An alternative reinforced closure technique with external Kirschner wires in sternal dehiscence

Heart Surg Forum. 2007;10(3):E193-5. doi: 10.1532/HSF98.20061190.

Abstract

Objective: We present an alternative closure technique that is effective in length stabilization of the dehisced sternum, technically easy, and less time consuming.

Methods: Between June 2000 and June 2003, 850 patients underwent open heart surgery in the participating clinics. In all of the patients, the sternotomies were primarily closed with No. 5 steel wires in a figure 8 manner or with single sutures. Eleven patients with sterile sternal dehiscence underwent operations with Kirschner wires.

Results: During the postoperative period, no complications related to the implants were observed in any of the patients in the early and late follow-ups.

Conclusion: With this technique, the fragile sternum is easily and effectively stabilized by reinforcing with suprasternal Kirschner wires without applying complicated manipulations.

Publication types

  • Clinical Trial

MeSH terms

  • Aged
  • Bone Wires*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Sternum / surgery*
  • Surgical Wound Dehiscence / prevention & control*
  • Surgical Wound Dehiscence / surgery*
  • Surgical Wound Infection / prevention & control
  • Thoracic Surgical Procedures / instrumentation*
  • Thoracic Surgical Procedures / methods*
  • Treatment Outcome
  • Wound Healing*