SternalPlate
Rigid fixation sternal closure
Closure.
The heart of what we do.
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The evolution of rigid fixation in sternal closure
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Closure counts: postoperative success with rigid fixation
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Patient impact stories
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The evolution of rigid fixation in sternal closure
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Closure counts: postoperative success with rigid fixation
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Patient impact stories
Count on us
Ease of use
VariSpeed Driver provides pressure sensitive variable speed control up to 400rpms
SMARTLock Technology
Locking plate provides two points of fixation, designed to provide stability and locking capability up to 10° angulation in every direction4
Manubrium Plate
2.0mm plate thickness provides a low-profile design to reduce palpability
Customization
Modular system allows for customization and ease of sterilization
55%
stronger out-of-plane bending compared to a competitive product5
50%
stronger in-plane bending compared to a competitive product5
AXS Screw
pull-out force
+15%
pull-out force compared to a competitive product3
ERAS
“The Enhanced Recovery After Surgery Society’s mission is to develop perioperative care and to improve recovery through research, education, audit and implementation of evidence-based practice. ERAS is a multimodal, transdisciplinary care improvement initiative to promote recovery of patients undergoing surgery throughout their entire perioperative journey. These programs aim to reduce complications and promote an earlier return to normal activities. Evidence-based ERAS protocols have been published across multiple surgical specialties.”6
In 2019, ERAS released the following guidelines for rigid fixation for sternal closure: “Rigid sternal fixation has benefits in patients undergoing sternotomy and should be especially considered in individuals at high risk, such as those with a high body mass index, previous chest wall radiation, severe chronic obstructive pulmonary disorder, or steroid use. Rigid sternal fixation can be useful to improve or accelerate sternal healing and reduce mediastinal wound complications (class IIa, level B-R).”6
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References
- Raman J, Lehmann S, Zehr K, De Guzman BJ, Aklog L, Garrett HE, MacMahon H, Hatcher BM, Wong MS. Sternal closure with rigid plate fixation versus wire closure: a randomized controlled multicenter trial. Ann Thorac Surg. 2012 Dec;94(6):1854-61. doi: 10.1016/j.athoracsur.2012.07.085. Epub 2012 Oct 25. PMID: 23103010.
- Allen KB, Thourani VH, Naka Y, Grubb KJ, Grehan J, Patel N, Guy TS, Landolfo K, Gerdisch M, Bonnell M, Cohen DJ. Rigid Plate Fixation Versus Wire Cerclage: Patient-Reported and Economic Outcomes From a Randomized Trial. Ann Thorac Surg. 2018 May;105(5):1344-1350. doi: 10.1016/j.athoracsur.2017.12.011. Epub 2018 Jan 11. PMID: 29337126.
- Park JS, Kuo JH, Young JN, Wong MS. Rigid Sternal Fixation Versus Modified Wire Technique for Poststernotomy Closures: A Retrospective Cost Analysis. Ann Plast Surg. 2017 May;78(5):537-542. doi: 10.1097/SAP.0000000000000901. PMID: 27740952.
- Stryker data on file -Ti 301.02I.
- Report_TI5097_SternalPlate – Dynamic construct strength.
- Engelman, D. T., Ben Ali, W., Williams, J. B., Perrault, L. P., Reddy, V. S., Arora, R. C., Roselli, E. E., Khoynezhad, A., Gerdisch, M., Levy, J. H., Lobdell, K., Fletcher, N., Kirsch, M., Nelson, G., Engelman, R. M., Gregory, A. J., & Boyle, E. M. (2019). Guidelines for perioperative care in cardiac surgery. JAMA Surgery,154 (8), 755. https://doi.org/10.1001/jamasurg.2019.1153.