Potential risk of sternal wires

Chun Che Shih, Chun Ming Shih, Yea Yang Su, Shing Jong Lin

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Objective: To understand the potential fracture mechanism of sternal wires, we collected extracted stainless steel sternal wires from patients with sternal dehiscence following open-heart operations. Surface alterations and fractured ends of sternal wires were inspected and analyzed. Methods: Eight fractured and 12 non-fractured wires extracted from five patients (closure method: figure-of-eight or straight twisted; two without and three with mediastinitis) with mean implantation interval of 13.2±4.2 days (range 8-20 days) were studied by various techniques. The extracted wires were cleaned and the fibrotic tissues were removed. Irregularities and fractured ends were assayed by scanning electron microscopy and energy dispersive X-ray analysis (EDXA). Results: All examined fractured wires showed the presence of severe transversal cracks and crevice corrosion. EDAX revealed aluminum oxide inclusion on the fractured surface. Conclusions: The synergic effect of stress and poor wire quality could be the precursors of material failure for the sternal wire.

Original languageEnglish
Pages (from-to)812-818
Number of pages7
JournalEuropean Journal of Cardio-thoracic Surgery
Volume25
Issue number5
DOIs
Publication statusPublished - May 2004

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Mediastinitis
Corrosion
Aluminum Oxide
Stainless Steel
Electron Scanning Microscopy
X-Rays

Keywords

  • Fractured wire
  • Scanning electron microscopy
  • Sternal dehiscence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Potential risk of sternal wires. / Shih, Chun Che; Shih, Chun Ming; Su, Yea Yang; Lin, Shing Jong.

In: European Journal of Cardio-thoracic Surgery, Vol. 25, No. 5, 05.2004, p. 812-818.

Research output: Contribution to journalArticle

Shih, Chun Che ; Shih, Chun Ming ; Su, Yea Yang ; Lin, Shing Jong. / Potential risk of sternal wires. In: European Journal of Cardio-thoracic Surgery. 2004 ; Vol. 25, No. 5. pp. 812-818.
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