{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:16Z","timestamp":1740126856203,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003A retrospective study was conducted to explore the efficacy of bioabsorbable poly-L-lactic acid sternal pins in sternal closure in infants after cardiac surgery.<\/jats:p><jats:p>\n          Methods\u2003A total of 170 infantile patients who underwent cardiac surgery were divided into the steel wire group (group A), the PDS cord group (group B), and the steel wire\u2009+\u2009sternal pin group (group C). The occurrence of the thoracic deformity was evaluated by vertebral index (VI), frontosagittal index (FSI), and Haller index (HI) values; the stability of the sternum was evaluated by detecting sternal dehiscence and displacement.<\/jats:p><jats:p>\n          Results\u2003By comparing the absolute values of the differences in VI, FSI, and HI in the three groups, it was found that the difference values of VI and HI in group C were significantly lower than those in group B (p\u2009=\u20090.028 and 0.005). For the highest deformation index, the deformation rate of infants in group C before discharge and during the 1-year follow-up was lower than that in group A and group B (p\u2009=\u20090.009 and 0.002, respectively). The incidence of sternal displacement in group C was also significantly lower than that in groups A and B (p\u2009=\u20090.009 and 0.009). During the 1-year follow-up, there was no sternal dehiscence, and the sternum healed completely in the three groups.<\/jats:p><jats:p>\n          Conclusion\u2003The use of \u201csteel wire\u2009+\u2009sternal pin\u201d for sternal closure in infants after cardiac surgery can reduce the occurrence of sternal deformity, reduce anterior and posterior displacement of the sternum, and improve sternal stability.<\/jats:p>","DOI":"10.1055\/s-0043-1768967","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T23:42:31Z","timestamp":1685058151000},"page":"077-083","source":"Crossref","is-referenced-by-count":0,"title":["Sternal Pin Used to Close Sternum in Infants after Cardiac Surgery"],"prefix":"10.1055","volume":"72","author":[{"given":"Wen-Peng","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiu-Hua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Si-Jia","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3768-9000","authenticated-orcid":false,"given":"Qiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"issue":"04","key":"ref1","first-page":"753","article-title":"The median sternal incision in intracardiac surgery with extracorporeal circulation; a general evaluation of its use in heart surgery","volume":"42","author":"O C Julian","year":"1957","journal-title":"Surgery"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/S0022-5223(19)36223-3","article-title":"Improved technique for closure of median sternotomy incision. 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