Sternal Komplikasyon Riski Yüksek Hastalarda İlk Sternotomi Kapamalarında Çelik Tel İle Sternal Kapatma Sistemlerinin Kombinasyonu: Termoreaktif Nitinol Klips Mi? Titanyum Sternal Kapatma Plağı Mı?

In this study, we aimed to compare the sternal complication rates of traditional steel wire closure, combined with thermoreactive nitinol clips (TRC) or titanium closure plate (TSCP) methods used in first sternotomy closures 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 between May 2018-October 2020 were studied retrospectively. The divided into three groups according for as; only (n=179), TRC (n=17) and TSCP (n=14). compared terms demographic changes, clinical specifications, rates. Sternal dehiscence was evaluated 2 (1.1%) whose sternums closed wire, among all included superficial wound infection seen these (1.1%). Superficial 1 patient (7.1%) group where used. No which There no statistical significance observed regarding complications group. DM ratio higher (p=0.002). four their body mass indexes (BMI). BMI 35-39.9 and> 40 kg/m2 found be significant whom (p <0.001) comparison conventional wiring applied. A forward stepwise multinomial logistic regression model created evaluate use TSCP. (OR=8.26) 30-34.9 (OR=14.28) significantly effective TRC. (OR=10.75) We believe using reinforced stell sternotomies safe could prevent further possible have risks dehiscence.