Clinical application of poly-L-lactide sternal coaptation pins in coronary artery bypass grafting

doi:10.3969/j.issn.2095-4344.2013.47.023

Abstract

Abstract:

BACKGROUND: Poly-L-lactide sternal coaptation pins have been gradually used in clinic, but there are still few reports about the clinical effects of poly-L-lactide sternal coaptation pins in sternal fractures and sternal fixation after heart surgery.
OBJECTIVE: To summarize the clinical effects of poly-L-lactide sternal coaptation pins in coronary artery bypass grafting.
METHODS: Totally 150 patients who had received coronary artery bypass graft were enrolled. Ninety-five out of 150 patients received sternal fixation using steel wires as control group, and the other 55 patients underwent sternal fixation using steel wires and poly-L-lactide sternal coaptation pins as test group. Pethidine dosage, incidence rates of pulmonary complications and wound infection, postoperative hospitalization days and hospital costs were compared between the two groups.
RESULTS AND CONCLUSION: During the follow-up period (3-8 years), there was no sternal infection and nonunion in the two groups. In the test group, pethidine dosage and hospitalization days were fewer than those in the control group (P < 0.05). No significant differences were found in the incidence rates of complications and wound infection and hospital costs between the two groups (P > 0.05). These findings indicate that poly-L-lactide sternal coaptation pins are feasible in the coronary artery bypass grafting.

Key words: biocompatible materials, bone nails, bone wires, coronary artery bypass, off-pump

CLC Number:

R318

Li Feng-jie, Sun Wei-yan, Xiao Feng. Clinical application of poly-L-lactide sternal coaptation pins in coronary artery bypass grafting[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(47): 8288-8293.

Figures/Tables 3

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