Sternal precautions: is it time for change? Precautions versus restrictions-a review of literature and recommendations for revision

LP Cahalin, TK LaPier, DK Shaw - … physical therapy journal, 2011 - journals.lww.com
The processes that occur with normal sternal healing and potential complications related to
median sternotomy are of particular interest to physical therapists. The premise of patients …

Risk factors for sternal complications after cardiac operations: a systematic review

S Balachandran, A Lee, L Denehy, KY Lin… - The Annals of thoracic …, 2016 - Elsevier
Early detection of patients at risk of sternal complications is essential to facilitate prevention
and optimize timely intervention. A systematic review and meta-analysis was conducted to …

Prevention of sternal dehiscence and infection in high-risk patients: a prospective randomized multicenter trial

C Schimmer, W Reents, S Berneder, P Eigel… - The Annals of thoracic …, 2008 - Elsevier
BACKGROUND: One factor for the development of sternal wound infection (SWI) is bony
instability after sternotomy. This study compares two surgical techniques with respect to the …

Risk factors for mediastinitis after cardiac surgery–a retrospective analysis of 1700 patients

C Diez, D Koch, O Kuss, RE Silber, I Friedrich… - Journal of cardiothoracic …, 2007 - Springer
Background Mediastinitis is a rare, but serious complication of cardiac surgery. It has a
significant socioeconomic impact and high morbidity. The purpose of this study was to …

Risk factors for sternal wound infection after open heart operations vary according to type of operation

K Meszaros, U Fuehrer, S Grogg, G Sodeck… - The Annals of thoracic …, 2016 - Elsevier
Background This study evaluated whether risk factors for sternal wound infections vary with
the type of surgical procedure in cardiac operations. Methods This was a university hospital …

Clinical outcomes of noninfectious sternal dehiscence after median sternotomy

VA Olbrecht, CJ Barreiro, PN Bonde, JA Williams… - The Annals of thoracic …, 2006 - Elsevier
BACKGROUND: Infectious complications of median sternotomy carry significant morbidity
and mortality. However, the outcomes of noninfectious sternal dehiscence have not been …

Kryptonite bone cement prevents pathologic sternal displacement

PWM Fedak, E Kolb, G Borsato, DEC Frohlich… - The Annals of thoracic …, 2010 - Elsevier
BACKGROUND: Wire cerclage closure of sternotomy is the standard of care despite
evidence of pathologic sternal displacement (> 2 mm) during physiologic distracting forces …

[HTML][HTML] Gentamicin-collagen sponge reduces sternal wound complications after heart surgery: a controlled, prospectively randomized, double-blind study

C Schimmer, M Özkur, B Sinha, J Hain, A Gorski… - The Journal of thoracic …, 2012 - Elsevier
OBJECTIVE: Prophylactic retrosternal placement of a gentamicin-collagen sponge has been
the subject of several recent clinical studies and is a matter of controversy. The present study …

Sternal wound closure in the current era: the need of a tailored approach

A Nenna, F Nappi, J Dougal, U Satriano… - General Thoracic and …, 2019 - Springer
Objective Median sternotomy remains the most common access to perform cardiac surgery
procedures. However, the experience of the operating surgeon remains a crucial factor …

Precautions related to midline sternotomy in cardiac surgery: a review of mechanical stress factors leading to sternal complications

BC Brocki, CB Thorup… - European journal of …, 2010 - journals.sagepub.com
Background: After midline sternotomy patients are instructed on activity precautions to avoid
sternal wound complications. We questioned how restrictive these precautions must be …