Broadhurst Jack, Moorjani Narain, Ohri Sunil
Department of Cardiothoracic Surgery, Southampton General Hospital, Southampton, UK.
Interact Cardiovasc Thorac Surg. 2010 Mar;10(3):465-6. doi: 10.1510/icvts.2009.218867. Epub 2009 Dec 9.
Median sternotomy can be associated with significant morbidity, including non-union, dehiscence and mediastinitis. The use of flexible thermoreactive sternal clips has been introduced recently as an alternative method of sternal closure and is advocated in patients at increased risk of sternal breakdown. It is associated with a decreased incidence of sternal complications as well as allowing faster sternal closure and easy removal on resternotomy. This report describes the case of a fractured thermoreactive clip following trauma, resulting in sternal dehiscence necessitating sternal rewiring.
正中胸骨切开术可能会伴有严重的并发症，包括骨不连、切口裂开和纵隔炎。最近，可弯曲的热反应性胸骨夹被引入作为胸骨闭合的替代方法，并被推荐用于胸骨破裂风险增加的患者。它与胸骨并发症的发生率降低相关，还能使胸骨更快闭合，并且在再次开胸手术时易于移除。本报告描述了一例热反应性夹子在创伤后发生断裂，导致胸骨切口裂开，需要进行胸骨重新缝合的病例。
