Fedak Paul W M, Kasatkin Aleksey
Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
Surg Innov. 2011 Dec;18(4):NP8-11. doi: 10.1177/1553350611412057. Epub 2011 Jul 7.
A novel approach to enhance the mechanical stability of primary sternal closure is described. An osteoconductive bone adhesive is used to augment conventional wire cerclage. More than 30 patients have undergone primary sternal closure using Kryptonite bone adhesive. All patients recovered well with no adverse side effects or adhesive-associated complications. Adhesive-enhanced sternal closure may accelerate functional recovery after sternotomy, improve early outcomes and prevent major sternal complications such as deep sternal wound infection and dehiscence. The technique is simple, safe, and expedient.
本文描述了一种增强初次胸骨闭合机械稳定性的新方法。使用骨传导性骨粘合剂增强传统的钢丝环扎术。超过30例患者使用氪石骨粘合剂进行了初次胸骨闭合。所有患者恢复良好，无不良副作用或与粘合剂相关的并发症。粘合剂增强的胸骨闭合术可能会加速胸骨切开术后的功能恢复，改善早期预后，并预防诸如深部胸骨伤口感染和裂开等主要胸骨并发症。该技术简单、安全且便捷。
