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  • Title: An alternative reinforced closure technique with external Kirschner wires in sternal dehiscence.
    Author: Omay O, Ozker E, Indelen C, Suzer K.
    Journal: Heart Surg Forum; 2007; 10(3):E193-5. PubMed ID: 17389209.
    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.
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