| Popis: |
In this study, we aimed to compare the sternal complication rates of traditional steel wire closure, steel wire combined with thermoreactive nitinol clips (TRC) or steel wire combined with titanium sternal closure plate (TSCP) methods used in first sternotomy closures in high risk patients. 210 patients (153 males, 57 females, mean age 62.87±10.21, distribution 21-86 years) that underwent open heart surgery via median sternotomy between May 2018-October 2020 were studied retrospectively. The patients were divided into three groups according to the methods used for sternal closure as; steel wire only (n=179), steel wire combined with TRC (n=17) and steel wire combined with TSCP (n=14). The groups were compared in terms of demographic changes, clinical specifications, and sternal complication rates. Sternal dehiscence was evaluated in 2 patients (1.1%) whose sternums were closed with only steel wire, and among all the patients included in the study, superficial wound infection was seen in these 2 patients (1.1%). Superficial wound infection was seen in 1 patient (7.1%) in the group where TSCP combined steel wire was used. No sternal dehiscence was seen in patient groups in which TSCP and TRC were used. There was no statistical significance observed regarding sternal complications among three group. DM ratio was higher among the TRC and TSCP groups (p=0.002). The patients were divided into four groups according to their body mass indexes (BMI). The BMI rates of 35-39.9 and> 40 kg/m2 were found to be significant in the patients for whom TRC and TSCP used (p |
