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Ann Thorac Surg 2004;77:2261-2262
© 2004 The Society of Thoracic Surgeons
Department of Cardiothoracic Surgery, Forum Health, Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, USA
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
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