title: Use of a cast spreader during reoperative sternotomy.
abstract: We report a modified use for an old tool: separation of the sternal edges during repeat sternotomy with a cast spreader. We have found that this technique improves our exposure, causes no trauma to bone, and minimizes the risk of damage to underlying mediastinal structures.
authors.affiliation: Cardiovascular and Thoracic Surgical Associates, Arlington Hospital, Virginia, USA.
authors.forename: J W
authors.initials: JW
authors.lastname: Rhee
authors.forename: J R
authors.initials: JR
authors.lastname: Garrett
mesh_terms: D001864:Bone Wires; D062109:Dermatologic Surgical Procedures; D006801:Humans; D012086:Reoperation; D013249:Sternum / Q000601:surgery*; D013314:Stress, Mechanical; D013908:Thoracotomy / Q000295:instrumentation*; D014143:Traction / Q000295:instrumentation*