Transverse sternal plating in secondary sternal reconstruction: Single-center clinical experience

Abstract

Objectives: This study reviews five-years’ experience of transverse sternal plating in secondary sternal reconstruction in our clinic. Materials and methods: We retrospectively reviewed our experience with transverse sternal plating using a titanium sternal plate system between January 2015 and December 2019. During this period, a total of 31 sternal plating operations for secondary sternal closure after cardiac surgery were performed. Results: During the five years of the study, 31 patients underwent sternal plating. There were 20 males and 11 females in the group. The average age was 65.4±10.2 years with a body mass index (BMI) of 27.5±2.9 kg/m2 . Twenty-six (83.9%) were diabetics, 23 (74.2%) active smokers, 11 (35.5%) had chronic obstructive pulmonary disease (COPD) and two (6.5%) had renal failure. Conclusion: Titanium plate fixation is an effective method to stabilize complicated sternal dehiscence. It is a simple and safe technique without risks. More comprehensive research is required to address the indications, benefits, and complications of sternal plating.