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Interactive Cardiovascular and Thoracic Surgery 3:191-194(2004)
© 2004 European Association of Cardio-Thoracic Surgery

Best evidence topic - Cardiac general

Is the figure-of-eight superior to the simple wire technique for closure of the sternum?

Noman Khasatia, Rajesh Sivaprakasama and Joel Dunningb,*

a Department of Cardiothoracic Surgery, Wythenshawe Hospital, South Moor Road, Manchester M23 9LT, UK
b Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

* Corresponding author. Address: Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 3BW, UK. Tel.: +44-780-154-8122; fax: +44-161-276-8538
joeldunning{at}doctors.org.uk

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed is whether the figure-of-eight technique is superior to the simple wire technique for closing of the sternum?

Altogether 111 papers were found in Medline of which seven presented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these papers are tabulated. We conclude that the figure-of-eight wire technique is not superior to the simple wire technique for closure of the sternum.

Key Words: Evidence-based medicine; Thoracic surgery; Bone wires; Sternum




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Ann. Thorac. Surg., August 1, 2005; 80(2): 623 - 630.
[Abstract] [Full Text] [PDF]


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