NDLI: A biomechanical study of a rigid plating system for sternal fixation

Content Provider	IEEE Xplore Digital Library
Author	Gunja, N. Pai, S. McMahon, N. Dupak, E. Lalikos, J. Dunn, R. Francalancia, N. Pins, G. Billiar, K.
Copyright Year	2004
Description	Author affiliation: Dept. of Biomedical Eng., Worcester Polytech. Inst., MA, USA (Gunja, N.)
Abstract	Median sternotomy, a procedure required for open-heart surgery, cardiac valve replacement and coronary bypass surgery, is the most commonly used surgical approach in cardiothoracic surgery. Complications associated with the traditional use of stainless steel sutures for sternal closure lead to poor sternal healing, sternal separation and dehiscence in 0.5 to 2.5% of all cases. Sternal dehiscence leads to discomfort, mediastinitis, osteomyelitis, and chronic sternal instability, and it is associated with a 10-40% mortality rate. Improving the mechanical stability of sternal fixation devices will facilitate better sternal healing and decrease the likelihood of complications associated with medial sternotomy. Based on healing of long bones, it has been suggested that rigid fixation devices promote faster sternal healing while reducing the likelihood of post-operative complications. Although metal plates are currently being used clinically to provide stable sternal fixation, no mechanical data has been published to support the assertion that plates provide a more rigid fixation than wires. Our ultimate goal is to determine the optimal plating configuration for rigid fixation in terms of the location, type, and number of metal plates. The purpose of this preliminary study was to determine the stability of fixation of a sternum following midline sternotomy using three metal plates.
Sponsorship	BEACON Tyco Healthcare Reebok BEI The Whitaker Found
Starting Page	156
Ending Page	157
File Size	182708
Page Count	2
File Format	PDF
ISBN	0780382854
DOI	10.1109/NEBC.2004.1300042
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2004-04-17
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Sternum Surgery Stability Bones System testing Force measurement Biomedical engineering Mechanical engineering Valves Steel
Content Type	Text
Resource Type	Article

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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