Sternal closure with rigid plate fixation versus wire closure | 合法醫療器材資訊網

由JRaman著作·2012·被引用86次—Sternalreconstructionusingrigidfixationwithplatesimprovedbonehealingandreducedearlypostoperativepaincomparedwithwire ...

Background: Rigid bone fixation is the standard of care for all bone reconstructions except that after sternotomy. Sternal reconstruction after median sternotomy using rigid fixation with plates may improve bone healing and reduce pain when compared with wire cerclage.

Methods: One-hundred forty patients at six centers who were determined preoperatively to be at high risk for sternal wound complications were randomly assigned to sternal closure with rigid plate fixation (n=70) or wire cerclage (n=70). Sternal healing was evaluated at 3 or 6 months by a core laboratory using computed tomography. Pain and function were evaluated at postoperative day 3 through discharge, 3 weeks, 6 weeks, 3 months, and 6 months.

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