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Ann Thorac Surg 2008;85:2165. doi:10.1016/j.athoracsur.2008.02.022
© 2008 The Society of Thoracic Surgeons
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Jurg Grunenfelder
Michele Genoni
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Correspondence

Reply

Andre Plass, MD, Jurg Grunenfelder, MD, Ivo Guber, MD, Michele Genoni, MD

Clinic for Cardiovascular Surgery, University Hospital Zurich Rämistr. 100, Zurich 8091, Switzerland

(Email: andre.plass@usz.ch).

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

To the Editor:


Dr Plass discloses a financial relationship with Synthes.

 

We read with interest the letter by Avlonitis and colleagues [1] and have to bring different comments into this discussion.

We did not mean that plate osteosynthesis is a simple technique, because there is no need for retrosternal dissection. The handling and the principle of the plate system is easy to learn, although it has to be used very carefully because serious injury to the heart and the lungs is possible [2]. However, the fact that no dissection retrosternally is necessary represents a huge advantage compared with other sternal closure systems currently available, including the thermoreactive clips. In this operative technique the required dissection and lifting of both pectoral . . . [Full Text of this Article]


Related Article

Thermoreactive Clips for Sternotomy Closure in Sternal Dehiscence
Vassilios S. Avlonitis, Vivek Shrivastava, John Wallis, Steve Hunter, Andrew Goodwin, Andrew Owens, and Simon Kendall
Ann. Thorac. Surg. 2008 85: 2164-2165. [Extract] [Full Text] [PDF]





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