Sternal Stabilization by Interlocking Wires: An Alternative Simple Technique for High‐Risk Patients

 Background: Sternal dehiscence following midline sternotomy is associated with significant morbidity and mortality in high‐risk patients. Methods: A novel simple technique of sternal stabilization after midline sternotomy by interlocking wires was introduced in high‐risk patients with morbid obesity, diabetes, osteoporosis, chronic obstructive pulmonary disease, bilateral internal thoracic artery harvesting, or various combinations of the above. Results: A sternal stabilization by interlocking wires was performed in 25 consecutive high‐risk patients. Stable sternum was achieved in all patients despite multiple risk factors. Conclusion: We describe a simple technique of interlocking wires that provides excellent stabilization of the sternum after midline stenotomy in high‐risk patients. This technique utilizes the benefit of figure‐eight wires, provides the continuity of the weave and effectively prevents cutting of the wires through the sternum without compromising its blood supply.