Primary closure of median sternotomy: techniques and principles

摘要: Understanding the biomechanics of midline sternotomy repair is important to successful surgical outcome. High-risk patients, particularly those with immunosuppression, diabetes, and osteoporosis, should be identified. Details technique monitored, closure incorporate lateral support sternum in patients at risk. Sternal dehiscence can occur under physiologic loads. Closure techniques materials insure stable repair, avoidance material migration through bone.