ArticleAnnals of cardiothoracic surgery2018
Sternotomy closure using rigid plate fixation: a paradigm shift from wire cerclage.
Article in Annals of cardiothoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 26 citations in OpenAlex.
- Sternal Closure After Clamshell Thoracotomy for Bilateral Lung Transplantation: Comparison Between Different Techniques.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Operative management of unstable sternal fracture in polytrauma: a case report and literature review.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Review
- Effectiveness of rigid plate fixation for sternal closure in patients with a high risk of deep sternal wound infection.The Journal of international medical research · 2024Observational
- Clinical Evaluation of Titanium-Alloy Bands for Sternal Closure after Median Sternotomy: Single-Center Experience.Contrast media & molecular imaging · 2022Article
- Computed Tomography Imaging Assessment of the Effect of Vancomycin Paste on Poststernotomy Healing.International journal of general medicine · 2021Article
- Sternal reconstruction after post-sternotomy dehiscence and mediastinitis.Indian journal of thoracic and cardiovascular surgery · 2020Article
- Enhanced recovery after cardiac surgery: A literature review.Saudi journal of anaesthesiaReview
Corrections and comments
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Authors and funding
11 authors at 10 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRigid plate fixation (RPF) is the cornerstone in managing fractures and osteotomies except for sternotomy, where most cardiac surgeons continue to use wire cerclage (WC). Results of a multicenter randomized trial evaluating sternal healing, sternal complications, patient reported outcome measures (PROMs), and costs after sternotomy closure with RPF or WC are summarized here.
methodsTwelve US centers randomized 236 patients to either RPF (n=116) or WC (n=120). The primary endpoint, sternal healing at 6 months, was evaluated by a core laboratory using computed tomography and a validated 6-point scale (greater scores represent greater healing). Secondary endpoints assessed through 6 months included sternal complications and PROMs. Costs from the time of sternal closure through 90 days and 6 months were analyzed by a health economic core laboratory.
resultsRPF compared to WC resulted in better sternal healing scores at 3 (2.6±1.1
conclusionsSternotomy closure with RPF resulted in significantly better sternal healing, fewer sternal complications, improved PROMs and was cost neutral through 90 days and 6 months compared to WC.
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Registered trials
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