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Sternotomy Closure with Parham Bands
Author(s) -
BADELLINO M.,
CAVAROCCHI NICHOLAS C.,
KOLFF JACK,
ALPERN JEFFREY B.,
McCLURKEN JAMES B.
Publication year - 1988
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1988.tb00242.x
Subject(s) - medicine , sternum , closure (psychology) , nonunion , surgery , wound closure , median sternotomy , market economy , wound healing , economics
A bstract The closure of a median sternotomy incision requires secure bony approximation to prevent postoperative pain, sternal click, and/or nonunion of bone. The standard technique of sternotomy closure involves the use of stainless steel wires for reapproximation of the sternum. These wires occasionally break or pull through bone, resulting in instability of either a portion of the sternum or the entire sternum. Presented here is our technique for sternotomy closure that provides secure closure with reduced postoperative morbidity.