This is a simple and quick method for the tightening of figure-of-eight wires routinely used for sternal closure. This technique gives a stable approximation, adequate reduction, and immobilization, providing higher strength and rigidity compared with conventional figure-of-eight closure. The advantage of this technique is that it tightens all the four wires equally, thus avoiding loose loops.
KamiyaH., Al-maisaryS.S., AkhyariP.The number of wires for sternal closure has a significant influence on sternal complications in high-risk patients. Interact Cardiovasc Thorac Surg.2012; 15: 665–670.
2.
TekümitH., CenalA.R., TataroğluC., UzunK., AkinciE.Comparison of figure-of-eight and simple wire sternal closure techniques in patients with non-microbial sternal dehiscence. Anadolu Kardiyol Derg.2009; 9: 411–116.
RamzishamA.R., RaflisA.R., KhairulasriM.G., Ooi Su MinJ., FikriA.M., ZamrinM.D.Figure-of-eight vs. interrupted sternal wire closure of median sternotomy. Asian Cardiovasc Thorac Ann.2009; 17: 587–591.
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RobicsekF., DaughertyH.K., CookJ.W.The prevention and treatment of sternum separation following open-heart surgery. J Thorac Cardiovasc Surg.1977; 73: 267–268.