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Ann Thorac Surg 2004;77:2261
© 2004 The Society of Thoracic Surgeons

Correspondence

Lower sternal reinforcement to improve median sternotomy closure

Julian E. Losanoff, MD, Bruce W. Richman, MA, James W. Jones, MD, PhD

Department of Surgery, University of Columbia School of Medicine, M580 HSC, One Hospital Dr, Columbia, MO 65212, USA

e-mail: jonesjw@health.missouri.edu

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Dasika and colleagues [1] on lower sternal reinforcement after median sternotomy. The group's experimental model is based on static traction across the sternal closure to a maximum force of 400 newtons (N). The study does not appear to include assessment of repetitive cycling loads, a realistic replication of the forces associated with breathing, coughing, and bodily movement that cause wire to cut through the bone of patients [2].

Our ongoing sternotomy-closure study has used fresh cadaveric sternums attached to a . . . [Full Text of this Article]




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