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Related Experiment Video

Updated: May 8, 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

Open reduction internal fixation poststernotomy mediastinitis.

Hani Sinno1, Tassos Dionisopoulos

  • 1Division of Plastic Surgery, Department of Surgery, Jewish General Hospital, 3755 Côte-Sainte-Catherine Road, A500, Montreal, QC, Canada H3T 1E2.

Plastic Surgery International
|August 24, 2013
PubMed
Summary
This summary is machine-generated.

Open reduction and rigid internal fixation (ORIF) significantly reduces Intensive Care Unit (ICU) stays and ventilator dependence for patients with mediastinitis after sternotomy. This surgical approach also eliminates sternal instability and pain, improving patient quality of life.

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Area of Science:

  • Cardiothoracic Surgery
  • Surgical Infections
  • Critical Care Medicine

Background:

  • Mediastinitis complicates approximately 5% of sternotomy procedures.
  • Post-sternotomy mediastinitis presents significant morbidity and mortality risks.
  • Conventional rescue surgery for mediastinitis can be associated with prolonged recovery.

Purpose of the Study:

  • To evaluate the efficacy of open reduction and rigid internal fixation (ORIF) in managing post-sternotomy mediastinitis.
  • To compare outcomes between patients treated with ORIF versus those without ORIF for mediastinitis.
  • To assess the impact of ORIF on patient recovery, pain, and healthcare costs.

Main Methods:

  • A retrospective review of 35 patients diagnosed with mediastinitis following median sternotomy.
  • Comparison of outcomes between a group undergoing ORIF and a control group not receiving ORIF.
  • Analysis of Intensive Care Unit (ICU) stay, ventilator duration, sternal instability, and pain.

Main Results:

  • ORIF group: Mean ICU stay 1.5 days, mean ventilator use 0.75 days.
  • Non-ORIF group: Mean ICU stay 7.5 days, mean ventilator use 2.15 days (P < 0.05).
  • Zero instances of postoperative sternal instability or pain in the ORIF group, compared to 72% preoperatively.

Conclusions:

  • ORIF is a safe and effective option for select patients with post-sternotomy mediastinitis.
  • ORIF significantly decreases morbidity and mortality by providing anatomical reduction and physiological stabilization.
  • ORIF improves patient quality of life by minimizing sternal complications and reduces healthcare costs through shorter ICU and ventilator durations.