A novel technique in sternal closure after cardiac surgery for high-risk patients

Background
Sternal closure after cardiac surgery is a very important step, especially in high-risk patients such as obese, old age, osteoporotic females, diabetic, and after coronary artery bypass grafting. Poor sternal fixation is one of the postoperative complications that can result in increased morbidity and mortality.
Patients and methods
The idea of this technique is to take the advantage of peristernal circulage by use of heavy stainless-steel wires, which direct the dispersion forces on the body of the sternum, and also to use a trans-sternal wires to control the up and down movement of each part of the sternum.
Results
This technique was applied in six patients, comprising three females and three males. Intraoperative evaluation of the sternal stability by the surgeon revealed completely stable sternum. Moreover, postoperative examination and follow-up till 2 months revealed completely stable sternum.
Conclusion
This technique is a simple, easy, and effective method for prevention of sternal dehiscence after sternotomy.