title: Enhancing sternal closure using Kryptonite bone adhesive: technical report.
abstract: A novel approach to enhance the mechanical stability of primary sternal closure is described. An osteoconductive bone adhesive is used to augment conventional wire cerclage. More than 30 patients have undergone primary sternal closure using Kryptonite bone adhesive. All patients recovered well with no adverse side effects or adhesive-associated complications. Adhesive-enhanced sternal closure may accelerate functional recovery after sternotomy, improve early outcomes and prevent major sternal complications such as deep sternal wound infection and dehiscence. The technique is simple, safe, and expedient.
authors: Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada. paul.fedak@gmail.com
authors: Paul W M
authors: PW
authors: Fedak
authors: Aleksey
authors: A
authors: Kasatkin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use*; D001864:Bone Wires; D002368:Castor Oil / Q000627:therapeutic use*; D015331:Cohort Studies; D006331:Heart Diseases / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011108:Polymers / Q000627:therapeutic use*; D056346:Sternotomy; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000517:prevention & control; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements; C552291:Kryptonite bone cement; D011108:Polymers; D002368:Castor Oil