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Table 6 Classification of risk groups and surgical technique modification

From: Development of a new sternal dehiscence prediction scale for decision making in sternal closure techniques after cardiac surgery

Score

Risk

 

Surgical technique

0

0.3%

low

Standard:

1

0.5%

 

Single wires

2

0.7%

  

3

1.0%

< 1.0%

 

4

1.4%

Intermediate

Standard plus:

5

2.1%

 

Special wiring techniques,

6

3.0%

 

e.g. figure of eight,

7

4.3%

< 5%

intercostal, double wires

8

6.1%

high

Reinforced:

9

8.7%

 

Wires plus bands or

10

12.2%

< 15%

rigid plates fixationa

11

16.8%

Very high

Specially reinforced:

12

22.7%

 

Rigid plates fixation (360-plates +bandsb)

13

29.9%

< 30%

(minimum 3 plates, 5 bridges)

14

38.3%

Extremely high

Combination of plates and bands (360°)

15

47.5%

< 50%

other techniques:

16

56.9%

> 50%

Additional to Plates

17

65.8%

 

Retention sutures

> 18

73.7%

 

Vacuum-assisted wound closure

  1. aSternaLock™ Blue, bSternaLock™ 360