{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:02:07Z","timestamp":1780624927848,"version":"3.54.1"},"reference-count":11,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2011,7,4]],"date-time":"2011-07-04T00:00:00Z","timestamp":1309737600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["opencardiovascularmedicinejournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOCMJ"],"published-print":{"date-parts":[[2011,7,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>During the past five years, ridged sternal fixation has been utilized for sternal closure after cardiac surgery. It is known that this procedure provides better sternal stability; however, its contribution to patient recovery has not been investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective chart review was conducted for patients who underwent CABG and\/or valve surgery in our institution between 2009 and 2010. Preoperative, perioperative, and follow-up data of patients with ridgid fixation (group R, n=89) were collected and compared with those patients with conventional sternal closure (group C, n=133). The decision regarding the sternal closure method was based on the surgeon\u2019s preferences. Univariate followed by multivariate analyses were performed to evaluate the dominant factor of sternal lock usage and to evaluate postoperative recoveries. The factors included in the analyses were; age, sex, coronary risk factors, urgency of surgery, ejection fraction, coronary anatomy, preoperative stroke, renal function, and preoperative presence of heart failure. All statistical analyses were performed by JMP software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Group R was younger (62 \u00b1 9 in group R vs 69 \u00b1 11 in group C, p&lt;0.0001) than group C, more male dominant (61% vs 49%, p=0.0452), had a lower percentage of patients undergoing redo-surgery (2.2% vs 9.0%, p&lt;0.0418), was more likely to be used in isolated coronary artery bypass grafting (71% vs 46%, p=0.0002), more often to be used for large patient (body mass index, BMI greater than 30) (58% vs 37%. P=0.0045), and patients were more likely to have a low EuroSCORE (2.6 \u00b1 2.3 vs 4.4 \u00b1 2.7). Intubation time (13 \u00b1 20 hours vs 39 \u00b1 97 hours, p=0.0030), ICU stay (58 \u00b1 40 hours vs 99 \u00b1 119 hours, p=0.0003), and postoperative length of stay (7.0 \u00b1 3.7 days vs 8.4 \u00b1 4.7 days, p&lt;0.0141) were significantly shorter in group R than group C. Multivariate analyses showed ridged sternal fixation was the most dominant factor affecting intubation time and ICU stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Rigid sternal fixation systems were more frequently applied to low risk young male patients. Among these selected patients, ridgid sternal fixation can contribute to early patient recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2174\/1874192401105010148","type":"journal-article","created":{"date-parts":[[2011,7,12]],"date-time":"2011-07-12T06:31:26Z","timestamp":1310452286000},"page":"148-152","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Rigid Sternal Fixation Improves Postoperative Recovery"],"prefix":"10.2174","volume":"5","author":[{"given":"Hitoshi","family":"Hirose","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Yamane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin A","family":"Youdelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Bogar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James T","family":"Diehl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"refR1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/S1010-7940(99)00014-7","volume":"15","author":"Casha AR","year":"1999","unstructured":"Casha AR, Yang L, Kay PH, Saleh M, Cooper GJ. \n                    A biomechanical study of median sternotomy closure technique \n                    Eur J Cardiothorac Surg  \n                    1999; \n                    15\n                    : 365-9.","journal-title":"Eur J Cardiothorac Surg"},{"key":"refR2","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1016\/S0003-4975(00)01301-1","volume":"69","author":"Zurbr\u00fcgg HR","year":"2000","unstructured":"Zurbr\u00fcgg HR, Freestone T, Bauer M, Hetzer R. \n                    Reinforcing the conventional sternal closure \n                    Ann Thorac Surg  \n                    2000; \n                    69\n                    : 1957-8.","journal-title":"Ann Thorac Surg"},{"key":"refR3","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/j.athoracsur.2006.04.058","volume":"82","author":"Olbrecht VA","year":"2006","unstructured":"Olbrecht VA, Barreiro CJ, Bonde PN, et al. \n                    Clinical outcomes of noninfectious sternal dehiscence after median sternotomy \n                    Ann Thorac Surg  \n                    2006; \n                    82\n                    : 902-7.","journal-title":"Ann Thorac Surg"},{"key":"refR4","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S0003-4975(03)01339-0","volume":"77","author":"Sharma R","year":"2004","unstructured":"Sharma R, Puri D, Panigrahi BP, Virdi IS. \n                    A modified parasternal wire technique for prevention and treatment of sternal dehiscence \n                    Ann Thorac Surg  \n                    2004; \n                    77\n                    : 210-3.","journal-title":"Ann Thorac Surg"},{"key":"refR5","first-page":"601","volume":"42","author":"Totaro P","year":"2001","unstructured":"Totaro P, Lorusso R, Zogno M. \n                    Reinforced sternal closures for prevention of sternal dehiscence in high risk patients \n                    J Cardiovasc Surg  \n                    2001; \n                    42\n                    : 601-3.","journal-title":"J Cardiovasc Surg"},{"key":"refR6","doi-asserted-by":"crossref","first-page":"2393","DOI":"10.1016\/j.athoracsur.2004.07.043","volume":"80","author":"Randecker H","year":"2005","unstructured":"Randecker H. \n                    Median sternotomy closure simple inexpensive effective technique \n                    Ann Thorac Surg  \n                    2005; \n                    80\n                    : 2393-4.","journal-title":"Ann Thorac Surg"},{"key":"refR7","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/1749-8090-4-19","volume":"7","author":"Fawzy H","year":"2009","unstructured":"Fawzy H, Alhodaib N, Mazer CD, et al. \n                    Sternal plating for primary and secondary sternal closure; can it improve sternal stability? 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