Randomized, multicenter trial comparing sternotomy closure with rigid plate fixation to wire cerclage

Biomechanical Comparison of Wire Circlage and Rigid Plate Fixation for Median Sternotomy Closure in Human Cadaver Specimens

Sternal plating for primary and secondary sternal closure; can it improve sternal stability?

BACKGROUND Sternal instability with mediastinitis is a very serious complication after median sternotomy. Biomechanical studies have suggested superiority of rigid plate fixation over wire cerclage for sternal fixation. This study tests the hypothesis that sternal closure stability can be improved by adding plate fixation in a human cadaver model. METHODS Midline sternotomy was performed in 1...

A Cadaveric, Biomechanical Analysis of Sternal Fixation Systems

Rigid fixation of bony structures has been introduced and implemented as a means to improve stability and reduce motion. Tight fixation has been reported as an essential factor for successful healing1. A variety of devices including plates, intramedullary nails, pedicle screws and interbody fusion devices are used in orthopaedic, spinal and cranial facial procedures to provide rigid fixation. T...

Stainless steel wire versus FiberWire suture cerclage fixation to stabilize the humerus in total shoulder arthroplasty.

HYPOTHESIS No. 5 FiberWire (Arthrex, Naples, FL, USA) cerclage (FWC) and 1.25-mm stainless steel wire cerclage (SSWC) are biomechanically similar in resistance to prosthetic subsidence in shoulder arthroplasty. METHODS In this laboratory bench study, 3 different surgical knot configurations (4-throw knot, cow hitch, and simple hitch) using a No. 5 FWC were evaluated and compared with a 1.25-m...

A double blind randomized controlled trial comparing primary suture closure with mesh augmented closure to reduce incisional hernia incidence

BACKGROUND Incisional hernia is the most frequently seen long term complication after laparotomy causing much morbidity and even mortality. The overall incidence remains 11-20%, despite studies attempting to optimize closing techniques. Two patient groups, patients with abdominal aortic aneurysm and obese patients, have a risk for incisional hernia after laparotomy of more than 30%. These patie...