Median sternotomy closure: review and update research

Cardiac surgery is a very common operation nowadays all over the world. Median sternotomy is a routine procedure required for cardiac access during open heart surgery. The complications of this procedure after the cardiac surgery range from 0.7% to 1.5% of all cases, and bear a high mortality rate if they occur. Every individual surgeon must pay great attention on every detail during the sternal closure. This article shows the details as to conventional information and updated progress on median sternotomy closure. The update contents involve in biomechanics, number of wires twists, biomaterial and so on. According to our experience, we recommend four peristernal single/double steel wires for sternal closure as our optimal choice.