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Updated: Jun 29, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Sternal wound infections.

William J Mauermann1, Priya Sampathkumar, Rodney L Thompson

  • 1Division of Cardiovascular Anesthesiology, Mayo Clinic Rochester, MN 55905, USA. mauermann.william@mayo.edu

Best Practice & Research. Clinical Anaesthesiology
|October 4, 2008
PubMed
Summary
This summary is machine-generated.

Deep sternal wound infections (DSWI) are uncommon after cardiac surgery but carry high mortality. This review covers DSWI incidence, risk factors, microbiology, and prevention strategies for anesthesiologists.

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Last Updated: Jun 29, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases

Background:

  • Deep sternal wound infections (DSWI) occur in 1%-2% of cardiac surgery patients.
  • Despite low incidence, DSWIs have significant morbidity, mortality, and clinical relevance due to the large number of cardiac procedures.

Purpose of the Study:

  • To review the current incidence, morbidity, and mortality of DSWI.
  • To identify risk factors associated with DSWI development.
  • To discuss prevention strategies, particularly those relevant to clinical anesthesiologists.

Main Methods:

  • Literature review of DSWI incidence, risk factors, microbiology, and prevention.
  • Focus on anesthesiologist-applicable interventions.

Main Results:

  • DSWI incidence remains low (1%-2%) but mortality is high.
  • Review details associated morbidity and mortality.
  • Identifies key risk factors and microbiological profiles.
  • Highlights preventive measures for anesthesiologists.

Conclusions:

  • DSWI is a serious complication of cardiac surgery requiring ongoing vigilance.
  • Understanding risk factors and implementing targeted prevention strategies are crucial.
  • Anesthesiologists play a role in mitigating DSWI risk.