Paramedian Sternal Bone Plate Reinforcement and Wiring for Difficult Sternotomy Wounds

    loading  Checking for direct PDF access through Ovid


Longitudinally oriented bone plates of stainless steel adapted to each sternal half after midline sternotomy provide a reinforced construct for transverse wiring. A method for placement of these 3.5-mm screw diameter plates in a supraperiosteal position is described. Clinical indications for use have included sternal osteoporosis, previous pull through of conventional wires, seg-mental sternal fractures, and obese body habitus. This technique is presented as a method to avoid sternal instability and potential wound infection for those patients at risk for sternal separation with standard wiring techniques.

Related Topics

    loading  Loading Related Articles