ArticleJournal of cardiothoracic surgery2019
Analysis of sternal healing after median sternotomy in low risk patients at midterm follow-up: retrospective cohort study from two centres.
Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Sternal Closure Techniques Using Steel Wires and Predictors of Sternal Wound Complications: A Randomized Controlled Trial.Brazilian journal of cardiovascular surgery · 2026Trial
- Trial
- Effect of a water-soluble alkylene oxide copolymer based bone hemostat in cardiac surgery: a prospective, multicenter, single-arm study.Journal of cardiothoracic surgery · 2026Article
- Robotic-assisted minimally invasive multivessel coronary artery surgery: a propensity-matched analysis.Journal of cardiothoracic surgery · 2026Article
- Hemostatic efficacy of a novel Ca/P/S-based bone graft material and its preliminary clinical evidence in sternum closure procedures.Frontiers in bioengineering and biotechnology · 2026Article
- Robotic Assisted Minimally Invasive Coronary Revascularisation: Midterm Results.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025Article
- Article
- Impact of local delivery of allogeneic chondrocytes on the biological response and healing of the sternum bones after sternotomy.Scientific reports · 2023Article
- Comparison of Two Techniques Performing the Supine-to-Sitting Postural Change in Patients with Sternotomy.Journal of clinical medicine · 2023Article
- Totally endoscopic aortic valve replacement: Techniques and early results.Frontiers in cardiovascular medicine · 2022Article
- Clinical assessment of efficacy of poly-L-lactide sternal pin on sternal stability and post-operative pain: a prospective randomized trial in cardiovascular surgery.Journal of thoracic disease · 2022Article
- Nonsternotomy multivessel coronary artery bypass grafting: A key development in cardiac surgery.JTCVS techniques · 2021Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundFor low risk patients undergoing median sternotomies, no midterm follow-up studies involving sternal healing have been conducted. In this study we evaluated sternal healing in low risk patients by chest CT scan and the risk factors associated with poor healing were analyzed.
methodsPatients who underwent sternal median incision heart surgery from September 2014 to March 2015 were recruited. The clinical information of these patients during hospitalization was collected, and the CT scan data were submitted to the two chief physicians of the Radiology Department for radiographical sternal healing score determination. Based on the method of wound closure, the patients were divided into sternum plate (Plates) and wire groups (Wires).
resultsForty-four patients were recruited. The mean CT examination time was 17.27 ± 2.30 months postoperatively. Twenty-nine (65.9%) patients met the criteria for radiographic sternal healing. Three segments, including the aortopulmonary window, the main pulmonary artery, and the aortic root, had healed less in comparison to the manubrium segment. Compared to patients in whom 6-7 metal wires were used for sternal closure, healing of the lower sternum was worse in patients in whom five wires were used, but the difference in healing was not statistically significant. Univariate analysis of sternal healing showed that patient age was a risk factor for sternal non-healing. When the patient age was > 45 years, the predicted risk of radiographic sternal non-union was 1.833 (95% CI: 1.343-2.503).
conclusionsAt the mid-term follow-up, 65.9% of patients undergoing median sternotomies demonstrated radiographic sternal healing. Age, but not closure device, was a risk factor for sternal non-healing in low risk patients. Use of more wires had a positive impact on sternal healing.
trial registrationresearchregistry4918, registered 28 May 2019, retrospectively registered.
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