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The number of wires for sternal closure has a significant influence on sternal complications in high-risk patients.

Kamiya H, Al-maisary SS, Akhyari P, Ruhparwar A, Kallenbach K, Lichtenberg A, Karck M.

Interact Cardiovasc Thorac Surg. 2012 Oct;15(4):665-70. Epub 2012 Jul 6.


Primary sternal plating to prevent sternal wound complications after cardiac surgery: early experience and patterns of failure.

Snyder CW, Graham LA, Byers RE, Holman WL.

Interact Cardiovasc Thorac Surg. 2009 Nov;9(5):763-6. doi: 10.1510/icvts.2009.214023. Epub 2009 Aug 26.


The reinforced sternal closure system is reliable to use in elderly patients.

Okutan H, Tenekeci C, Kutsal A.

J Card Surg. 2005 May-Jun;20(3):271-3.


The use of Nitinol clips for primary sternal closure in cardiac surgery.

Nikolaidis N, Karangelis D, Mattam K, Tsang G, Ohri S.

Ann Thorac Cardiovasc Surg. 2013;19(4):330-4. Epub 2012 Dec 13.


Cardiopulmonary bypass line sternal wrapping for protection and haemostasis.

Aratari C, Manché A, Ferretti L, Fusella M.

Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):147-9. doi: 10.1510/icvts.2008.199596. Epub 2009 May 7.


Prophylactic sternal plating with pectoralis advancement flaps after sternotomy in patients with a history of chest irradiation.

Neaman KC, Blount AL, Kim JA, Renucci JD, Hooker RL.

Interact Cardiovasc Thorac Surg. 2011 Mar;12(3):355-8. doi: 10.1510/icvts.2010.247262. Epub 2010 Dec 7.


Nitinol thermoreactive clips for secondary sternal closure in cases of noninfective sternal dehiscence.

Gucu A, Toktas F, Eris C, Ata Y, Turk T.

Tex Heart Inst J. 2012;39(4):513-6.


Sternal dehiscence in patients with moderate and severe chronic obstructive pulmonary disease undergoing cardiac surgery: the value of supportive thorax vests.

Celik S, Kirbas A, Gurer O, Yildiz Y, Isik O.

J Thorac Cardiovasc Surg. 2011 Jun;141(6):1398-402. doi: 10.1016/j.jtcvs.2011.01.042. Epub 2011 Mar 5.


Bone cement-enhanced sternal closure technique in cardiac surgery: effects on sternal union, pain and life quality.

Bayramoglu Z, Durak Y, Bayram M, Ulusoy OL, Caynak B, Sagbas E, Akpınar B.

J Cardiothorac Surg. 2013 Aug 7;8:182. doi: 10.1186/1749-8090-8-182.


Figure-of-eight vs. interrupted sternal wire closure of median sternotomy.

Ramzisham AR, Raflis AR, Khairulasri MG, Ooi Su Min J, Fikri AM, Zamrin MD.

Asian Cardiovasc Thorac Ann. 2009 Dec;17(6):587-91. doi: 10.1177/0218492309348948.


Prospective, randomized, single blinded pilot study of a new FlatWire based sternal closure system.

Boustany AN, Ghareeb P, Lee K.

J Cardiothorac Surg. 2014 Jun 2;9:97. doi: 10.1186/1749-8090-9-97.


Does the number of wires used to close a sternotomy have an impact on deep sternal wound infection?

Shaikhrezai K, Robertson FL, Anderson SE, Slight RD, Brackenbury ET.

Interact Cardiovasc Thorac Surg. 2012 Aug;15(2):219-22. doi: 10.1093/icvts/ivs200. Epub 2012 May 18.


Thermoreactive clips do not reduce sternal infection: a propensity-matched comparison with sternal wires.

Srivastava V, Yap CH, Burdett C, Smailes T, Kendall S, Akowuah E.

Interact Cardiovasc Thorac Surg. 2015 Dec;21(6):699-704. doi: 10.1093/icvts/ivv238. Epub 2015 Sep 7.


Sternal wrapping: developments and results.

Aratari C, Capestro F, Massi F, Magnano D, Manché A, Lamarra M.

Asian Cardiovasc Thorac Ann. 2013 Jun;21(3):319-25. doi: 10.1177/0218492312458595.


Sternal closure techniques and postoperative sternal wound complications in elderly patients.

Schimmer C, Sommer SP, Bensch M, Bohrer T, Aleksic I, Leyh R.

Eur J Cardiothorac Surg. 2008 Jul;34(1):132-8. doi: 10.1016/j.ejcts.2008.04.006. Epub 2008 May 9.


Prevention of sternal wound complications after sternotomy: results of a large prospective randomized multicentre trial.

Gorlitzer M, Wagner F, Pfeiffer S, Folkmann S, Meinhart J, Fischlein T, Reichenspurner H, Grabenwoeger M.

Interact Cardiovasc Thorac Surg. 2013 Sep;17(3):515-22. doi: 10.1093/icvts/ivt240. Epub 2013 Jun 11.


Prospective evaluation of a new sternal closure method with thermoreactive clips.

Negri A, Manfredi J, Terrini A, Rodella G, Bisleri G, El Quarra S, Muneretto C.

Eur J Cardiothorac Surg. 2002 Oct;22(4):571-5.


Is steel wire closure of sternotomy better than polyester suture closure?

Malhotra A, Garg P, Bishnoi AK, Pendro V, Sharma P, Upadhyay M, Gandhi S.

Asian Cardiovasc Thorac Ann. 2014 May;22(4):409-15. doi: 10.1177/0218492313489696.


Wound complications after median sternotomy: a single-centre study.

Heilmann C, Stahl R, Schneider C, Sukhodolya T, Siepe M, Olschewski M, Beyersdorf F.

Interact Cardiovasc Thorac Surg. 2013 May;16(5):643-8. doi: 10.1093/icvts/ivs554. Epub 2013 Jan 25.

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