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Shvedova, M., Dambaev, G., Vusyk, A., Skidanenko, V., & Anfinogenova, Y. (2017). TiNi-based Mesh Implant Sternal Resynthesis in Patients with Postoperative Sterno-Mediastinitis. KnE Materials Science, 2(1), 273-279. https://doi.org/10.18502/kms.v2i1.807

https://doi.org/10.18502/kms.v2i1.807

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authors

  • M.V. Shvedova
    No author data available.
  • G.Ts. Dambaev
    No author data available.
  • A.N. Vusyk
    No author data available.
  • V.V. Skidanenko
    No author data available.
  • Y. Anfinogenova
    No author data available.

Published Date

  • Jul 17, 2017

TiNi-based Mesh Implant Sternal Resynthesis in Patients with Postoperative Sterno-Mediastinitis

KnE Materials Science / Shape Memory Biomaterials and Implants in Medicine (SMBIM) / Pages 273-279

Abstract

The article presents analysis of the results of surgical treatment in patients with postoperative sterno-mediastinitis based on originally developed approach for sternal resynthesis using TiNi mesh implants compared with routine method of sternoraphy with metallic wire. The study showed that routine sternoraphy with metallic wire did not result in healing of more than a half of patients while worsening of sternal fragmentation occurred. The method of sternal resynthesis using TiNi mesh implants was developed in the Department of Hospital Surgery with Cardiovascular Surgery Courseat the Siberian State Medical University. This method allowed to achieve good short-term results, reliable fixation of sternal fragments, and restoration of sternal integrity. However, this method is contraindicated to patients with severe sternal fragmentation. The efficacy of the proposed approach significantly exceeds that of the routine method of sternal osteosynthesis with metallic wire. 

References
[1] M. Tavlasoglu, M. Kurkluoglu, Z. Arslan, A.B. Durukand, Detachment and dislocation of thermoreactive clips from sternum in late postoperative period due to misuse, Interact. Cardiovasc.Thorac. Surg. 14 (2012) 491-493.


[2] A. Gucu, F. Toktas, C. Eris, Y. Ata, T. Turk, Nitinol thermoreactive clips for secondary sternal closure in cases of noninfective sternal dehiscence, Tex. Heart. Inst. J. 39 (2012) 513-516.


[3] The Parisian Mediastinitis Study Group, Risk factors for deep sternal wound infection after sternotomy: a prospective multicenter study, J. Thorac. Cardiovasc. Surg. 111 (1996) 1200-1207.


[4] V.A. Olbrecht, C.J. Barreiro, P.N. Bonde, J.A. Williams, W.A. Baumgartner, V.L. Gott, J.V. Conte, Clinical outcomes of noninfectious sternal dehiscence after median sternotomy, Ann. Thorac. Surg. 82 (2006) 902-907.


[5] F. Sergio, A.M. Herrera, M. Atehortua, L. Véleza, J. Botero, J.S. Jaramillo, J.F. Vélez, H. Fernández, Use of steel bands in sternotomy closure: implications in high-risk cardiac surgical population, Interact. Cardiovasc.Thorac. Surg. 8 (2009) 200-205.


[6] D.H. Song, R.F. Lohman, J.D. Renucci, V. Jeevanandam, J. Raman, Primary sternal plating in high-risk patients mediastinitis, Eur. J. Cardiothorac. Surg. 26 (2004) 367-372.


[7] M.D. Meeks, P.W. Lozekoot, S.E. Verstraeten, M. Nelis, J.G. Maessen, Poststernotomy mediastinitis and the role of broken steel wires: retrospective study, Innovations (Phila). 8 (2013) 219-224.


[8] J. Broadhurst, N. Moorjani, S. Ohri, Traumatic fracture of nitinol thermoreactive sternal clips, Interact.Cardiovasc.Thorac. Surg. 10 (2010) 465-466.