Hamaji Masatsugu, Sakaguchi Yasuto, Matsuda Mitsuhiko, Kono Satoshi
Department of Thoracic and Cardiovascular Surgery, Nagahama City Hospital, Nagahama, Japan.
Interact Cardiovasc Thorac Surg. 2009 Oct;9(4):559-61. doi: 10.1510/icvts.2009.212506. Epub 2009 Jul 2.
We report our result of the reinforced sternal closure in 51 consecutive patients. We applied a new type of absorbable radiopaque pins (Super FIXSORB) composed of poly-lactide acid and hydroxyapatite, in addition to conventional stainless steel wires. The risk scores of our patients were calculated from the simplified risk scoring system for major infection based on the Society of Thoracic Surgeons National Cardiac Database. The expected probability of infection is significantly higher than the actual infection rate in our patients. Our procedure may contribute to minimizing the fatal sternal complication particularly in high-risk patients.
我们报告了连续51例患者采用强化胸骨闭合术的结果。除了传统的不锈钢丝外，我们还应用了一种新型的可吸收显影钉（Super FIXSORB），其由聚乳酸和羟基磷灰石组成。我们患者的风险评分是根据胸外科医师协会国家心脏数据库中的简化重大感染风险评分系统计算得出的。我们患者的预期感染概率显著高于实际感染率。我们的手术方法可能有助于将致命的胸骨并发症降至最低，尤其是在高危患者中。
