title: Assessment of sternal closure using titanium plate.
abstract: BACKGROUND
  The use of plates and screws for more rigid fixation of the sternum, without maintaining contact between the upper portion of the sternum and mediastinum. The present study seeks new choice of plate with a significant difference, the same does not need to be removed in order to proceed to open when necessary sternal emerging opening of the bone.
  
  
  OBJECTIVE
  The current study aims to evaluate the efficacy and safety of this procedure.
  
  
  METHODS
  To this end, we selected ten patients with coronary artery disease have shown no significant risk factors for mediastinitis. The surgery was thus performed in the usual way that all patients with coronary artery disease surgeries are done at the institution. Only at the time of sternal closure is that there was a change, with the combination of steel wires and plates.
  
  
  RESULTS
  All cases had sternal closure properly with good outcome in the medium term.
  
  
  CONCLUSIONS
  The use of plates ENGIMPLAN proved safe and effective for sternal closure.
authors.forename: Renato Tambellini
authors.initials: RT
authors.lastname: Arnoni
authors.forename: Daniel Chagas
authors.initials: DC
authors.lastname: Dantas
authors.forename: Antoninho
authors.initials: A
authors.lastname: Arnoni
authors.forename: Caetano
authors.initials: C
authors.lastname: Nigro Neto
authors.forename: Camilo
authors.initials: C
authors.lastname: Abdulmassih Neto
mesh_terms: D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D001864:Bone Wires; D003324:Coronary Artery Disease / Q000601:surgery; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D015203:Reproducibility of Results; D056346:Sternotomy / Q000379:methods; D013249:Sternum / Q000601:surgery*; D014025:Titanium / Q000627:therapeutic use*; D016896:Treatment Outcome; D058106:Wound Closure Techniques / Q000295:instrumentation*
chemical_list: D014025:Titanium