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Abstract

Background: The median sternal incision is an incision that is commonly done in heart surgery and vascular surgery. The existing techniques need elaboration and innovation to produce a method with an optimal level of healing effectiveness accompanied by a minimal risk of side effects. This study aims to determine the difference between sternal approximation using stainless steel wire compared to polydioxanone (PDS) based on biomechanical analysis.


Methods: This was an in vitro experimental study using the sternum of a goat. A total of 24 sternums were divided into 6 treatment groups. Data analysis was performed with SPSS version 20. Univariate and bivariate analyzes were performed to compare the sternal approximation between stainless steel wire and PDS.


Results: The use of PDS showed a higher average increase in transverse and longitudinal approximations compared to the use of stainless steel wire and was statistically different, p<0.05. PDS does not differ from stainless steel wire in lateral approximation.


Conclusion: Stainless steel wire is more optimal in maintaining sternal stability than PDS based on biomechanical tests.

Keywords

Sternal incision Steel wire PDS Approximation Biomechanical

Article Details

How to Cite
Alif Arfiansyah Kartono, Satria, G., & Erial Bahar. (2022). Comparison of Sternum Approximation Stability Using Stainless Steel Wire with Polydioxanone (PDS). Sriwijaya Journal of Surgery, 5(2), 515-520. https://doi.org/10.37275/sjs.v5i2.79