TiNi-based Mesh Implant Sternal Resynthesis in Patients with Postoperative Sterno-Mediastinitis

Abstract

The article presents analysis of the results of surgical treatment in patients with postoperative sterno-mediastinitis based on originally developed approach for sternal resynthesis using TiNi mesh implants compared with routine method of sternoraphy with metallic wire. The study showed that routine sternoraphy with metallic wire did not result in healing of more than a half of patients while worsening of sternal fragmentation occurred. The method of sternal resynthesis using TiNi mesh implants was developed in the Department of Hospital Surgery with Cardiovascular Surgery Courseat the Siberian State Medical University. This method allowed to achieve good short-term results, reliable fixation of sternal fragments, and restoration of sternal integrity. However, this method is contraindicated to patients with severe sternal fragmentation. The efficacy of the proposed approach significantly exceeds that of the routine method of sternal osteosynthesis with metallic wire.