Active — Not RecruitingNot Applicable

Sternal Closure in High-BMI Patients: Cable vs Wire

Turkey (Türkiye)110 participantsStarted 2025-06-01

Plain-language summary

This retrospective study compares two sternal closure techniques-standard stainless-steel wires and rigid cable systems-in adult patients with a body mass index (BMI) ≥30 who underwent open-heart surgery between January 1, 2020, and December 31, 2024. The study aims to evaluate the incidence of sternal instability, wound infections, reoperation, and length of stay in the intensive care unit and hospital. Findings may help inform surgical decision-making for high-BMI patients.

Who can participate

Age range18 Years – 80 Years

SexALL

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Inclusion criteria

✓. Age ≥18 years
✓. Body Mass Index (BMI) ≥30 kg/m²
✓. Underwent primary open-heart surgery via median sternotomy
✓. Sternal closure performed with either standard stainless-steel wire or multifilament sternal cable system
✓. Complete and accessible perioperative clinical records

Exclusion criteria

✕. Age ≥80 years
✕. End-stage renal disease or chronic hemodialysis
✕. Redo sternotomy
✕. Early postoperative re-exploration (within 7 days)
✕. Mediastinitis prior to index discharge
✕. Diabetic patients with bilateral internal mammary artery (IMA) harvest
✕. Diagnosed osteoporosis
✕. Chronic obstructive pulmonary disease (FEV₁ \<80% and FEV₁/FVC \<70%)

What they're measuring

Incidence of Sternal Instability and Major Wound Complications

Timeframe: 90 days after surgery

Trial details

NCT IDNCT07097272

SponsorSamsun University

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2025-06-01

View on ClinicalTrials.gov More Sternal Wound Complications trials