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Journals / Southern Clinics of Istanbul Eurasia / 2021 / Cilt: 32 - Sayı: 1

Clinical Results of Nitinol Plate Implantation for Reconstruction of Sternal Dehiscence

Tuba APAYDIN
Murat AKKUŞ
Pages
30–35
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The use of TRNCs for patients with sternal dehiscence was successful and decreased the duration of hospital stay and the risk of postoperative complications, as well as providing greater patient comfort.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Difficulties with sternal bone healing or infection after a median sternotomy performed for open cardiac surgery can result in significant morbidity and mortality.
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Key Findings & Data:Methods: TRNCs were used to close the sternum in 40 patients (26 male, 14 female; mean age: 60±4 years, range: 45–76 years) with sternal dehiscence that developed following primary cardiac surgery between July 2010 and February 2019.
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Conclusion & Impact:The use of TRNCs for patients with sternal dehiscence was successful and decreased the duration of hospital stay and the risk of postoperative complications, as well as providing greater patient comfort.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Özet

Objective: Difficulties with sternal bone healing or infection after a median sternotomy performed for open cardiac surgery can result in significant morbidity and mortality. This study evaluates the efficacy, safety, advantages, disadvantages, and techniques related to the use of thermoreactive nitinol clips (TRNCs) to treat sternal dehiscence. Methods: TRNCs were used to close the sternum in 40 patients (26 male, 14 female; mean age: 60±4 years, range: 45–76 years) with sternal dehiscence that developed following primary cardiac surgery between July 2010 and February 2019. Sternum revision was performed at a mean of 72±4 days postoperative (range: 9–255 days). Vacuum-assisted closure (VAC) was applied before the surgical intervention in 55% (n=22) of the patients due to superficial wound infection. Results: Pleurisy was observed in 1 patient, and pneumonia developed in 1 patient after the revision. Mortality did not occur during hospitalization. The nitinol plates were removed in a second revision surgery in 9 patients: a pectoralis flap was created for 3, a reconstructive rectus flap was used in 1, and primary wound closure was implemented in 5 cases due to recurrent wound infection. Mortality was recorded in 1 patient in the postoperative period. Sternotomy complications of recurrent sternal dehiscence, mediastinitis, sternal abscess, or secondary osteomyelitis were not observed in 6 months of follow-up. Conclusion: Surgical interventions for sternal dehiscence should optimally be performed in the early period to decrease the risk of dehiscence secondary to infection and mediastinitis. The use of TRNCs for patients with sternal dehiscence was successful and decreased the duration of hospital stay and the risk of postoperative complications, as well as providing greater patient comfort.

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Cite This Article

APAYDIN, T., AKKUŞ, M. (2021). Clinical Results of Nitinol Plate Implantation for Reconstruction of Sternal Dehiscence. Southern Clinics of Istanbul Eurasia, Cilt: 32 - Sayı: 1, 30–35. https://ajindex.com/articles/313999

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