Evidence map›Paper›PMID 39387194›Full record

Observational studyThe Journal of international medical research2024

Effectiveness of rigid plate fixation for sternal closure in patients with a high risk of deep sternal wound infection.

Hiromasa Nakamura, Yujiro Miura, Keisuke Yoshida, Naoki Edo, Ren Saito, Kazumasa Orihashi

Abstract readObservational Study
In one paragraph

Observational study in The Journal of international medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Rigid plate fixation versus wire cerclage for sternal closure after coronary artery bypass grafting: a retrospective cohort study.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hiromasa NakamuraDepartment of Cardiovascular Surgery, Kochi Medical School, Kochi, Japan.ORCID 0009-0003-6890-6976
Yujiro MiuraDepartment of Cardiovascular Surgery, Kochi Medical School, Kochi, Japan.
Keisuke YoshidaDepartment of Cardiovascular Surgery, Kochi Medical School, Kochi, Japan.
Naoki EdoDepartment of Cardiovascular Surgery, Kochi Medical School, Kochi, Japan.
Ren SaitoDepartment of Cardiovascular Surgery, Kochi Medical School, Kochi, Japan.
Kazumasa OrihashiLiaison Healthcare Engineering Section, Kochi Medical School, Kochi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMedian sternotomy is a standard approach in cardiovascular surgery, and wire fixation is commonly used for sternal closure. However, postoperative intermittent stress on the sternum can lead to sternal breakdown, potentially resulting in deep sternal wound infection (DSWI). Sternal closure with rigid plate fixation was recently reported to be effective for preventing DSWI and promoting sternal healing. We investigated the effectiveness of a rigid plate fixation system in patients at a high risk of developing DSWI.

methodsThis retrospective observational study evaluated the incidence of DSWI and the progression of postoperative sternal fusion observed on computed tomography. Forty-eight patients at a high risk of DSWI who underwent sternal closure with a rigid plate fixation system between 2020 and 2023 were assessed.

resultsAmong the 48 patients, 1 (2.1%) developed DSWI requiring surgical treatment. Sternal fusion improved over time, with significant progression observed during the follow-up period compared with the early postoperative period. Additionally, patients who did not show sternal fusion in the early postoperative period showed progressive fusion during follow-up.

conclusionsThe rigid plate fixation system prevents sternal displacement and may be beneficial in preventing DSWI by maintaining and promoting sternal fusion in high-risk patients.

Indexed as

Bone PlatesSternotomySternumSurgical Wound InfectionAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTomography, X-Ray ComputedTreatment Outcomecardiovascular surgeryDeep sternal wound infectionmedian sternotomypostoperative complicationrigid plate fixation systemsternal fusion

Identifiers

PMID39387194
PMCPMC11468325

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.