Copyright
©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. Jul 18, 2013; 4(3): 134-138
Published online Jul 18, 2013. doi: 10.5312/wjo.v4.i3.134
Published online Jul 18, 2013. doi: 10.5312/wjo.v4.i3.134
Comparison of straight median sternotomy and interlocking sternotomy with respect to biomechanical stability
Fatih Küçükdurmaz, Clinic of Orthopaedics and Traumatology, Bezmialem Vakif University, School of Medicine, Istanbul 34093, Turkey
İsmail Ağır, Departments of Orthopaedics and Traumatology, Adiyaman University School of Medicine, Adiyaman 02040, Turkey
Murat Bezer, Departments of Orthopaedics and Traumatology, Marmara University School of Medicine, Pendik 34899, Istanbul, Turkey
Author contributions: All authors contributed to conception and design, acquisition of data, or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content and final approval of the version to be published.
Correspondence to: Dr. Fatih Küçükdurmaz, Clinic of Orthopaedics and Traumatology, Bezmialem Vakif University, School of Medicine, Adnan Menderes Blv, Istanbul 34093, Turkey. fatihmfk@hotmail.com
Telephone: +90-212-4531700 Fax: +90-212-6217580
Received: March 1, 2013
Revised: April 15, 2013
Accepted: June 1, 2013
Published online: July 18, 2013
Revised: April 15, 2013
Accepted: June 1, 2013
Published online: July 18, 2013
Core Tip
Core tip: Sternal healing after median sternotomy can be compromised by an unstable closure. In this in vitro study, we found that the biomechanical characteristics of the median interlocking sternotomy were superior to those of the straight median sternotomy. The zigzag cuts made the sternotomy line significantly more stable and provided more surface area for bony healing. These improved features are highly associated with improved bony healing. We believe that the interlocking sternotomy will decrease the complications associated with sternotomy in clinical basis by providing a better bony healing.