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Ann Thorac Surg 2007;84:1056-1058
© 2007 The Society of Thoracic Surgeons

How To Do It

Rigid Plate Fixation of the Sternum

Jaishankar Raman, MD, PhDa,*, David Straus, ABb, David H. Song, MDc

a Section of Cardiothoracic Surgery, The University of Chicago Hospitals, Chicago, Illinois
b Pritzker School of Medicine, The University of Chicago Hospitals, Chicago, Illinois
c Section of Plastic and Reconstructive Surgery, The University of Chicago Hospitals, Chicago, Illinois

Accepted for publication November 15, 2006.

* Address correspondence to Dr Raman, The University of Chicago Hospitals, Section of Cardiothoracic Surgery, 5841 S. Maryland, Suite E-500, M/C 5040, Chicago, IL 60637 (Email: jraman{at}surgery.bsd.uchicago.edu).

Sternotomy is the most common osteotomy performed worldwide and has traditionally been closed by wire circlage. Recent studies have demonstrated the superiority of internal plate fixation both in promoting bony stability and osteosynthesis and in decreasing the incidence of postoperative mediastinitis. Despite its advantages, this method of sternal closure has not yet gained widespread use. We describe a simple technique of sternal closure using plates secured with screws.






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Copyright © 2007 by The Society of Thoracic Surgeons.