Rigid Sternal Fixation

The negative impact of sternal complications can have major effects on recovery following cardiac surgery. Rigid sternal fixation can assist by stabilizing the surgical site preventing complications, supporting respiratory function, improving pain, mobility, and other patient outcomes.

Complications related to sternotomy can negatively impact a patient's post-operative course. By minimizing the risk of sternal complications through rigid fixation, healthcare providers can potentially contribute to better patient outcomes and shorter hospital stays.

Rigid sternal fixation may provide several benefits:

Protection of the Surgical Site:

• After cardiac surgery, the sternum (breastbone) is typically opened to access the heart. Rigid sternal fixation, often achieved using wires, plates, or other hardware, is crucial in ensuring that the sternum remains stable and closed. This protects the surgical site, prevents infection, and allows the healing process to occur without disruptions.

Prevention of Sternal Dehiscence:

• Sternal dehiscence, the separation of the sternum's edges, is a potentially life-threatening complication. Rigid sternal fixation helps minimize the risk of sternal dehiscence, which can lead to mediastinitis (infection within the chest) and other complications.

Respiratory Function:

• The sternum plays a critical role in the mechanics of breathing. Proper sternal fixation ensures that the chest wall remains stable and allows for adequate respiratory function. Patients recovering from cardiac surgery need to breathe effectively to support their overall recovery.

Pain Management:

• An unstable sternum can lead to increased pain and discomfort for patients, hindering their ability to recover and participate in post-operative activities. Rigid sternal fixation can help reduce pain and improve the overall patient experience.

Cost Savings:

• Preventing sternal complications can result in cost savings for healthcare systems. Avoiding complications such as mediastinitis, which often require additional surgeries, extended hospital stays, and extensive antibiotic treatment, can reduce healthcare expenditures.

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This summary was written with assistance from artificial intelligence. All text was reviewed, edited, and supplemented by the listed editor(s). Reference: OpenAI. (2023). ChatGPT (Sept 25 version) [Large language model]. https://chat.openai.com/chat

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