{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:47:12Z","timestamp":1777884432397,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2003,3,1]],"date-time":"2003-03-01T00:00:00Z","timestamp":1046476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Proc Inst Mech Eng H"],"published-print":{"date-parts":[[2003,3,1]]},"abstract":"<jats:p>\n                    It has been proposed that the incidence of sternal dehiscence can be decreased by passing the wires used for sternotomy closure through cannulated screws. However, there is a potential risk of fatigue failure as a result of the wire moving against the screw, e.g. during coughing and sneezing. The system of cannulated screws and wire was subjected to static tensile testing to failure. Five tests were performed and failure occurred at 388 \u00b1 34 N (mean \u00b1 SD). Ten cyclic tests were then performed. Sinusoidal loading was applied at 10 Hz with peak forces in the range 10\u201390 per cent of the static failure force, at a constant load ratio R = 10. The test with the lowest peak force reached run-out at 6 \u00d7 10\n                    <jats:sup>6<\/jats:sup>\n                    cycles. The others failed by the ends of the wire closures becoming untwisted (one test), the wire fracturing at the twist (three tests) or the wire fracturing at the screw (five tests). However, calculations based on these results suggest that fatigue failure is unlikely to occur as a result of regular breathing or continuous coughing or sneezing.\n                  <\/jats:p>","DOI":"10.1243\/095441103765212721","type":"journal-article","created":{"date-parts":[[2003,5,16]],"date-time":"2003-05-16T18:53:37Z","timestamp":1053111217000},"page":"221-226","source":"Crossref","is-referenced-by-count":1,"title":["Fatigue strength of a wire passing through a cannulated screw: Implications for closure of the sternum following cardiac surgery"],"prefix":"10.1177","volume":"217","author":[{"given":"R S","family":"Jutley","sequence":"first","affiliation":[{"name":"University of Aberdeen Department of Bio-Medical Physics and Bio-Engineering Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D E T","family":"Shepherd","sequence":"additional","affiliation":[{"name":"University of Aberdeen Department of Bio-Medical Physics and Bio-Engineering Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D W L","family":"Hukins","sequence":"additional","affiliation":[{"name":"University of Aberdeen Department of Bio-Medical Physics and Bio-Engineering Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,3,1]]},"reference":[{"key":"bibr1-095441103765212721","first-page":"69","volume":"5","author":"Jutley R. S.","year":"2002","journal-title":"Heart Surg. Forum"},{"key":"bibr2-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1243\/09544110260216586"},{"key":"bibr3-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36223-3"},{"key":"bibr4-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1378\/chest.110.5.1173"},{"key":"bibr5-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-9945"},{"key":"bibr6-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70251-5"},{"key":"bibr7-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00944-7"},{"key":"bibr8-095441103765212721","unstructured":"Jutley R. S. Sternum screw: A novel device for use with conventional stainless steel wire to prevent sternal dehiscence following medial sternotomy. MD thesis, University of Aberdeen, submitted 2002."},{"key":"bibr9-095441103765212721","volume-title":"Standard Test Methods for Static and Fatigue for Spinal Implant Constructs in a Corpectomy Model","year":"1996"},{"key":"bibr10-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1243\/0954411001535516"},{"key":"bibr11-095441103765212721","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(99)00014-7"},{"key":"bibr12-095441103765212721","first-page":"397","volume-title":"Textbook of Respiratory Medicine","author":"Sackner M. A.","year":"1988"},{"key":"bibr13-095441103765212721","volume-title":"Physiology","author":"Berne R. 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