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Sternal fixation with resorbable suture material.

S M van Sterkenburg¹, A Brutel de la Rivière, F E Vermeulen

¹Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery

|January 1, 1990

Summary

Absorbable sutures like Polydioxanon (PDS) were tested for sternal closure. A pilot study found 20% of patients experienced complete sternal dehiscence, leading to project abandonment.

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Area of Science:

Cardiothoracic Surgery
Biomaterials Science
Surgical Innovation

Background:

Sternal closure is a critical step in cardiothoracic surgery.
Traditional sternal closure methods include steel wire and polyester sutures.
The use of absorbable sutures for sternal closure remains an area of investigation.

Purpose of the Study:

To investigate the applicability of absorbable sutures for sternal closure.
To evaluate the performance of heavy braided Polydioxanon (PDS Ethicon) sutures in sternal closure.
To compare absorbable sutures with traditional materials like steel wire and braided polyester.

Main Methods:

A pilot study was conducted to assess sternal closure techniques.
Heavy braided Polydioxanon (PDS Ethicon) sutures were used.

Related Experiment Videos

Steel wire and braided polyester sutures were also employed for comparison.

Main Results:

Complete sternal dehiscence occurred in 2 out of 2 patients (20%) in the pilot study.
The observed rate of sternal dehiscence was unacceptably high.
The project was terminated due to these adverse outcomes.

Conclusions:

Absorbable sutures, specifically heavy braided Polydioxanon (PDS Ethicon), demonstrated poor performance for sternal closure in this pilot study.
The high rate of sternal dehiscence necessitates further research into alternative closure methods.
The project was abandoned due to safety concerns and unacceptable complication rates.