A comparative study of two types of sternal pins used for sternal closure: poly-l-lactide sternal pins versus uncalcined hydroxyapatite poly-l-lactide sternal pins
Bioabsorbable poly- l -lactide (PLLA) sternal pins are applied to reinforce sternal closure during cardiac surgery. However, these pins lack osteoconductivity. A new bioabsorbable sternal pin with osteoconductivity, made of uncalcined hydroxyapatite and poly- l -lactide (u-HA-PLLA) has been develope...
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| Veröffentlicht in: | Journal of artificial organs 2013-12, Vol.16 (4), p.458-463 |
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| creator | Fu, Xian-ming Oshima, Hideki Araki, Yoshimori Narita, Yuji Mutsuga, Masato Okada, Noritaka Tsunekawa, Tomohiro Usui, Akihiko |
| description | Bioabsorbable poly-
l
-lactide (PLLA) sternal pins are applied to reinforce sternal closure during cardiac surgery. However, these pins lack osteoconductivity. A new bioabsorbable sternal pin with osteoconductivity, made of uncalcined hydroxyapatite and poly-
l
-lactide (u-HA-PLLA) has been developed. This study was conducted to compare the two types of sternal pins in terms of sternal stability and healing after median sternotomy. Between October 2006 and January 2012, 105 patients underwent aortic surgery for aortic aneurysms or dissection via median sternotomy and sternal closure with sternal pins. Among these patients, 75 were followed for 12 months using serial computed tomography (CT). PLLA sternal pins were used in 30 patients (group A) and u-HA-PLLA sternal pins were used in 45 patients (group B). The incidence rates of transverse sternal dehiscence, anteroposterior displacement and complete sternal fusion were evaluated using CT. The cross-sectional cortical bone density area (CBDA) of the sternum around the sternal pins was examined to evaluate the osteoconductivity of the sternal pins. There were no significant differences between groups A and B in the sternal dehiscence rate (6.7 vs 4.4 %), sternal displacement rate (6.7 vs 2.2 %) or 12-month sternal fusion rate (63.3 vs 73.3 %). The CBDA around the sternal pins significantly increased between discharge and 12 months after surgery in group B (
P
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| doi_str_mv | 10.1007/s10047-013-0727-z |
| format | Article |
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l
-lactide (PLLA) sternal pins are applied to reinforce sternal closure during cardiac surgery. However, these pins lack osteoconductivity. A new bioabsorbable sternal pin with osteoconductivity, made of uncalcined hydroxyapatite and poly-
l
-lactide (u-HA-PLLA) has been developed. This study was conducted to compare the two types of sternal pins in terms of sternal stability and healing after median sternotomy. Between October 2006 and January 2012, 105 patients underwent aortic surgery for aortic aneurysms or dissection via median sternotomy and sternal closure with sternal pins. Among these patients, 75 were followed for 12 months using serial computed tomography (CT). PLLA sternal pins were used in 30 patients (group A) and u-HA-PLLA sternal pins were used in 45 patients (group B). The incidence rates of transverse sternal dehiscence, anteroposterior displacement and complete sternal fusion were evaluated using CT. The cross-sectional cortical bone density area (CBDA) of the sternum around the sternal pins was examined to evaluate the osteoconductivity of the sternal pins. There were no significant differences between groups A and B in the sternal dehiscence rate (6.7 vs 4.4 %), sternal displacement rate (6.7 vs 2.2 %) or 12-month sternal fusion rate (63.3 vs 73.3 %). The CBDA around the sternal pins significantly increased between discharge and 12 months after surgery in group B (
P
< 0.001) but not in group A. These results show that u-HA-PLLA sternal pins exhibit certain osteoconductivity; however, both PLLA and u-HA-PLLA sternal pins provide comparable clinical outcomes regarding sternal stability and healing.</description><identifier>ISSN: 1434-7229</identifier><identifier>EISSN: 1619-0904</identifier><identifier>DOI: 10.1007/s10047-013-0727-z</identifier><identifier>PMID: 23996506</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Aged, 80 and over ; Aneurysm ; Aorta, Thoracic - surgery ; Biomedical Engineering and Bioengineering ; Bone Nails ; Cardiac Surgery ; Durapatite ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Original Article ; Polyesters ; Radiography ; Retrospective Studies ; Sternum - diagnostic imaging ; Sternum - surgery ; Wound Closure Techniques - instrumentation</subject><ispartof>Journal of artificial organs, 2013-12, Vol.16 (4), p.458-463</ispartof><rights>The Japanese Society for Artificial Organs 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-b6c24487cdfdd4a5d7c985faa356675275c01e218dd2667c5af34badf3ebee723</citedby><cites>FETCH-LOGICAL-c495t-b6c24487cdfdd4a5d7c985faa356675275c01e218dd2667c5af34badf3ebee723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10047-013-0727-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10047-013-0727-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23996506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fu, Xian-ming</creatorcontrib><creatorcontrib>Oshima, Hideki</creatorcontrib><creatorcontrib>Araki, Yoshimori</creatorcontrib><creatorcontrib>Narita, Yuji</creatorcontrib><creatorcontrib>Mutsuga, Masato</creatorcontrib><creatorcontrib>Okada, Noritaka</creatorcontrib><creatorcontrib>Tsunekawa, Tomohiro</creatorcontrib><creatorcontrib>Usui, Akihiko</creatorcontrib><title>A comparative study of two types of sternal pins used for sternal closure: poly-l-lactide sternal pins versus uncalcined hydroxyapatite poly-l-lactide sternal pins</title><title>Journal of artificial organs</title><addtitle>J Artif Organs</addtitle><addtitle>J Artif Organs</addtitle><description>Bioabsorbable poly-
l
-lactide (PLLA) sternal pins are applied to reinforce sternal closure during cardiac surgery. However, these pins lack osteoconductivity. A new bioabsorbable sternal pin with osteoconductivity, made of uncalcined hydroxyapatite and poly-
l
-lactide (u-HA-PLLA) has been developed. This study was conducted to compare the two types of sternal pins in terms of sternal stability and healing after median sternotomy. Between October 2006 and January 2012, 105 patients underwent aortic surgery for aortic aneurysms or dissection via median sternotomy and sternal closure with sternal pins. Among these patients, 75 were followed for 12 months using serial computed tomography (CT). PLLA sternal pins were used in 30 patients (group A) and u-HA-PLLA sternal pins were used in 45 patients (group B). The incidence rates of transverse sternal dehiscence, anteroposterior displacement and complete sternal fusion were evaluated using CT. The cross-sectional cortical bone density area (CBDA) of the sternum around the sternal pins was examined to evaluate the osteoconductivity of the sternal pins. There were no significant differences between groups A and B in the sternal dehiscence rate (6.7 vs 4.4 %), sternal displacement rate (6.7 vs 2.2 %) or 12-month sternal fusion rate (63.3 vs 73.3 %). The CBDA around the sternal pins significantly increased between discharge and 12 months after surgery in group B (
P
< 0.001) but not in group A. These results show that u-HA-PLLA sternal pins exhibit certain osteoconductivity; however, both PLLA and u-HA-PLLA sternal pins provide comparable clinical outcomes regarding sternal stability and healing.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysm</subject><subject>Aorta, Thoracic - surgery</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Bone Nails</subject><subject>Cardiac Surgery</subject><subject>Durapatite</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>Polyesters</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Sternum - diagnostic imaging</subject><subject>Sternum - surgery</subject><subject>Wound Closure Techniques - instrumentation</subject><issn>1434-7229</issn><issn>1619-0904</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1rFTEYhYMo9ssf4EYG3LiJzXdu3JWiVSh0Y9chN3lHp-ROxiRTnf4d_6gZbi0qKG7y8eY55xAOQs8peU0J0aelrUJjQjkmmml89wgdUkUNJoaIx-0suMCaMXOAjkq5IYRqqclTdMC4MUoSdYi-n3U-7SaXXR1uoSt1DkuX-q5-TV1dJijrpVTIo4vdNIylmwuErk_5YepjKnOGN92U4oIjjs7XIcDvqlvIZW7i0bvoh7FZfF5CTt8WN7XkCv8Sn6AnvYsFnt3vx-j63duP5-_x5dXFh_OzS-yFkRVvlWdCbLQPfQjCyaC92cjeOS6V0pJp6QkFRjchsDbw0vVcbF3oOWwBNOPH6NXed8rpywyl2t1QPMToRkhzsVQYppgS0vwHqrVUVBvd0Jd_oDdpXv-2UkoTxilfs-me8jmVkqG3Ux52Li-WEruWbfdl21a2Xcu2d03z4t553u4gPCh-ttsAtgdKexo_Qf4l-q-uPwBsJbju</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Fu, Xian-ming</creator><creator>Oshima, Hideki</creator><creator>Araki, Yoshimori</creator><creator>Narita, Yuji</creator><creator>Mutsuga, Masato</creator><creator>Okada, Noritaka</creator><creator>Tsunekawa, Tomohiro</creator><creator>Usui, Akihiko</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20131201</creationdate><title>A comparative study of two types of sternal pins used for sternal closure: poly-l-lactide sternal pins versus uncalcined hydroxyapatite poly-l-lactide sternal pins</title><author>Fu, Xian-ming ; Oshima, Hideki ; Araki, Yoshimori ; Narita, Yuji ; Mutsuga, Masato ; Okada, Noritaka ; Tsunekawa, Tomohiro ; Usui, Akihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-b6c24487cdfdd4a5d7c985faa356675275c01e218dd2667c5af34badf3ebee723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysm</topic><topic>Aorta, Thoracic - surgery</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Bone Nails</topic><topic>Cardiac Surgery</topic><topic>Durapatite</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Original Article</topic><topic>Polyesters</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Sternum - diagnostic imaging</topic><topic>Sternum - surgery</topic><topic>Wound Closure Techniques - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fu, Xian-ming</creatorcontrib><creatorcontrib>Oshima, Hideki</creatorcontrib><creatorcontrib>Araki, Yoshimori</creatorcontrib><creatorcontrib>Narita, Yuji</creatorcontrib><creatorcontrib>Mutsuga, Masato</creatorcontrib><creatorcontrib>Okada, Noritaka</creatorcontrib><creatorcontrib>Tsunekawa, Tomohiro</creatorcontrib><creatorcontrib>Usui, Akihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fu, Xian-ming</au><au>Oshima, Hideki</au><au>Araki, Yoshimori</au><au>Narita, Yuji</au><au>Mutsuga, Masato</au><au>Okada, Noritaka</au><au>Tsunekawa, Tomohiro</au><au>Usui, Akihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparative study of two types of sternal pins used for sternal closure: poly-l-lactide sternal pins versus uncalcined hydroxyapatite poly-l-lactide sternal pins</atitle><jtitle>Journal of artificial organs</jtitle><stitle>J Artif Organs</stitle><addtitle>J Artif Organs</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>16</volume><issue>4</issue><spage>458</spage><epage>463</epage><pages>458-463</pages><issn>1434-7229</issn><eissn>1619-0904</eissn><abstract>Bioabsorbable poly-
l
-lactide (PLLA) sternal pins are applied to reinforce sternal closure during cardiac surgery. However, these pins lack osteoconductivity. A new bioabsorbable sternal pin with osteoconductivity, made of uncalcined hydroxyapatite and poly-
l
-lactide (u-HA-PLLA) has been developed. This study was conducted to compare the two types of sternal pins in terms of sternal stability and healing after median sternotomy. Between October 2006 and January 2012, 105 patients underwent aortic surgery for aortic aneurysms or dissection via median sternotomy and sternal closure with sternal pins. Among these patients, 75 were followed for 12 months using serial computed tomography (CT). PLLA sternal pins were used in 30 patients (group A) and u-HA-PLLA sternal pins were used in 45 patients (group B). The incidence rates of transverse sternal dehiscence, anteroposterior displacement and complete sternal fusion were evaluated using CT. The cross-sectional cortical bone density area (CBDA) of the sternum around the sternal pins was examined to evaluate the osteoconductivity of the sternal pins. There were no significant differences between groups A and B in the sternal dehiscence rate (6.7 vs 4.4 %), sternal displacement rate (6.7 vs 2.2 %) or 12-month sternal fusion rate (63.3 vs 73.3 %). The CBDA around the sternal pins significantly increased between discharge and 12 months after surgery in group B (
P
< 0.001) but not in group A. These results show that u-HA-PLLA sternal pins exhibit certain osteoconductivity; however, both PLLA and u-HA-PLLA sternal pins provide comparable clinical outcomes regarding sternal stability and healing.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>23996506</pmid><doi>10.1007/s10047-013-0727-z</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of artificial organs, 2013-12, Vol.16 (4), p.458-463 |
| issn | 1434-7229 1619-0904 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Aged, 80 and over Aneurysm Aorta, Thoracic - surgery Biomedical Engineering and Bioengineering Bone Nails Cardiac Surgery Durapatite Female Humans Male Medicine Medicine & Public Health Middle Aged Nephrology Original Article Polyesters Radiography Retrospective Studies Sternum - diagnostic imaging Sternum - surgery Wound Closure Techniques - instrumentation |
| title | A comparative study of two types of sternal pins used for sternal closure: poly-l-lactide sternal pins versus uncalcined hydroxyapatite poly-l-lactide sternal pins |
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