Department of Cardiothoracic Surgery, Sanford Hospital, Fargo, North Dakota 58122, USA.
Ann Thorac Surg. 2012 Oct;94(4):1359-61. doi: 10.1016/j.athoracsur.2012.05.067.
Impaired sternal wound healing remains problematic after median sternotomy and can lead to significant morbidity after cardiac surgical procedures. Although metal plating systems exist for closing the sternum, their use is limited by expense and practicality, and simple wire closure remains the most common technique to close the sternum. We describe a cabling technique for sternal closure that is secure, uses standard sternal wire, and may be used on every patient. We have used the technique routinely in 291 patients with no sternal dehiscence or wound healing problems.
正中开胸术后胸骨愈合不良仍然是一个问题，并可能导致心脏手术后出现严重的发病率。虽然存在用于关闭胸骨的金属板系统，但由于费用和实用性的限制，它们的使用受到限制，简单的钢丝闭合仍然是最常见的关闭胸骨的技术。我们描述了一种安全的、使用标准胸骨钢丝的、可用于每位患者的胸骨闭合电缆技术。我们在 291 例患者中常规使用该技术，没有胸骨裂开或愈合问题。
