Abstract

After sternotomy for a cardiac operation in adults, closure of the sternum is accomplished with five or six wire sutures with twisting of the wire ends. This method may not achieve rigid fixation of the sternum, and the bulky twisted wires may cause skin pain or actual perforation. We have developed a new method of approximating the split sides of the sternum using a new instrument, the Wolvek approximator. With this method rigid fixation is obtained and the ends of the wires are fixed by a small crimped metal plate. This method has been used clinically with success.

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