2018
DOI: 10.28982/josam.411872
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Comparison of three different sternal closure techniques after cardiac surgery in elderly patients

Abstract: Aim: To identify the effectivity of stainless steel wires (SSW), Robicsek technique (RT) and thermoreactive nitinol clips (TNC) for sternal closure in elderly patients. Methods: We conducted a prospective randomized study to compare SSW, RT and TNC in the sternal closure between January 2015 and January 2017. Patients over 60 years old who required sternal closure following cardiac surgery were enrolled into the study. Preoperative characteristics, operative parameters and EuroSCORE were recorded for each pati… Show more

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Cited by 2 publications
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“…Nitinol clips don't integrate with bone and are more compatible with magnetic resonance imaging computed tomography scans. [13,14] The risk of bleeding is also lower than with standard wires. Nitinol clips provide up to 15% elasticity under tension.…”
Section: Discussionmentioning
confidence: 99%
“…Nitinol clips don't integrate with bone and are more compatible with magnetic resonance imaging computed tomography scans. [13,14] The risk of bleeding is also lower than with standard wires. Nitinol clips provide up to 15% elasticity under tension.…”
Section: Discussionmentioning
confidence: 99%
“…The assessment of surgical outcomes and quality has become particularly important in recent years. Various surgical techniques have been compared to reduce postoperative mortality and morbidity, especially in elderly patients [1]. This process was initially introduced for research purposes but has now become a source of data demanded by hospital administrations, families, insurance companies, government agencies, and even legal courts.…”
Section: Introductionmentioning
confidence: 99%