TY - JOUR
T1 - Preliminary evaluation of the sternum screw: a novel method for improved sternal closure to prevent dehiscence
AU - Jutley, RS
AU - Shepherd, Duncan
AU - Hukins, David
AU - Jeffrey, RR
PY - 2003/9/2
Y1 - 2003/9/2
N2 - Sternal dehiscence is a relatively rare but serious complication of sternal closure with an unacceptable mortality and morbidity rate. The 6 mm cannulated Sternum Screws are a novel approach that aims to prevent dehiscence. The screws are placed on either side of the sternotomy and wire threaded through the cannula and closed customarily. The Sternum Screws make the bone non-penetrable at the same time retaining the familiarity of conventional stainless steel wire. This novel technique was tested in sheep sterna to compare its efficacy to conventional wire closure. Using tensile testing in a testing machine, randomised controlled closures of the Sternum Screws and No. 5 stainless steel wires were evaluated until system failure. Seventeen matched pairs were tested. The Sternum Screw closure was on average 36% stronger, 284+/-43 N (mean+/-SD) compared to conventional wire closure alone, 215+/-38 N (mean+/-SD) [p
AB - Sternal dehiscence is a relatively rare but serious complication of sternal closure with an unacceptable mortality and morbidity rate. The 6 mm cannulated Sternum Screws are a novel approach that aims to prevent dehiscence. The screws are placed on either side of the sternotomy and wire threaded through the cannula and closed customarily. The Sternum Screws make the bone non-penetrable at the same time retaining the familiarity of conventional stainless steel wire. This novel technique was tested in sheep sterna to compare its efficacy to conventional wire closure. Using tensile testing in a testing machine, randomised controlled closures of the Sternum Screws and No. 5 stainless steel wires were evaluated until system failure. Seventeen matched pairs were tested. The Sternum Screw closure was on average 36% stronger, 284+/-43 N (mean+/-SD) compared to conventional wire closure alone, 215+/-38 N (mean+/-SD) [p
UR - http://www.scopus.com/inward/record.url?scp=12244311905&partnerID=8YFLogxK
U2 - 10.1016/S0967-2109(02)00118-7
DO - 10.1016/S0967-2109(02)00118-7
M3 - Article
C2 - 12543579
VL - 11
SP - 85
EP - 89
JO - Cardiovascular Surgery
JF - Cardiovascular Surgery
IS - 1
ER -