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Ann Thorac Surg 2004;77:2261-2262
© 2004 The Society of Thoracic Surgeons


Correspondence

Lower sternal reinforcement to improve median sternotomy closure: Reply

Uday K. Dasika, MD

Department of Cardiothoracic Surgery, Forum Health, Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, USA

James A. Magovern, MD

Department of Cardiothoracic Surgery, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212, USA

e-mail: udasika@forumhealth.org
e-mail: jmagouer@wpahs.org

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

To the Editor:

We thank Dr Losanoff and colleagues for their comments and interest in our report [1] that described increased separation occurring at the lower sternum as a result of increasing distracting forces to a sternal model. Our study demonstrated that sternal wire reinforcement at the lower portion resulted in less sternal distraction at correspondingly increasing distracting forces. The maximal lateral distraction force in this study was 400 newtons (N). As described in our article, lower sternal separation in the group that had an extra simple wire at the lower sternum, for a . . . [Full Text of this Article]




This article has been cited by other articles:


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Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in MedicineHome page
Y. Baril, V. Brailovski, M. Chartrand, P. Terriault, and R. Cartier
Median sternotomy: Comparative testing of braided superelastic and monofilament stainless steel sternal sutures
Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, March 1, 2009; 223(3): 363 - 374.
[Abstract] [PDF]




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