title: Detachment and dislocation of thermoreactive clips from sternum in late postoperative period due to misuse.
abstract: Median sternotomy is the most common method of access to the heart and great vessels in cardiac surgical procedures. However, particularly in obese and diabetic patients, complications such as dehiscence, osteomyelitis, mediastinitis and superficial wound infection or fistula formation may be encountered. To overcome these complications, some alternative surgical techniques and surgical equipment are designed for sternal closure. 'Nitinol thermoreactive clips' is one of them. In this study, we report a patient with detachment of thermoreactive clips from sternum in the late postoperative period due to wrong measurement of distance between intercostal spaces.
authors.affiliation: Diyarbakir Military Medical Hospital, Department of Cardiovascular Surgery, Diyarbakır, Turkey. mrttvls@gmail.com
authors.forename: Murat
authors.initials: M
authors.lastname: Tavlasoglu
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kurkluoglu
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Arslan
authors.forename: Ahmet Baris
authors.initials: AB
authors.lastname: Durukan
mesh_terms: D000328:Adult; D000497:Alloys; D004867:Equipment Design; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D019300:Medical Errors; D011859:Radiography; D012086:Reoperation; D056346:Sternotomy / Q000295:instrumentation*; D013249:Sternum / Q000000981:diagnostic imaging / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome
chemical_list: D000497:Alloys; C013616:nitinol