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Bilateral Longitudinal Reinforcement of Median Sternotomy Closure

Department of Surgery, University of Missouri, Columbia, MO 65212, USA

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We read with interest the recent article by Al Ebrahim on bilateral longitudinal reinforcement of median sternotomy closure.¹ The author used two longitudinal transsternal wire loops; the two halves of the sternum were then tightly opposed by means of multiple single suture wires tightened against the longitudinal wires. This technique was used successfully in 112 patients with precarious sterna; there was no incidence of dehiscence or sternal infection following the procedure.

Al Ebrahim writes that his technique is new, but Chlosta and Elefteriades described the . . . [Full Text of this Article]