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Sternal closure with titanium plate fixation--a paradigm shift in preventing mediastinitis.

Interact Cardiovasc Thorac Surg

August 2006

Department of Surgery, Section of Plastic Surgery, University of Chicago, MC 5040, 5841 South Maryland Ave, Chicago, IL 60637, USA.

Sternal instability predisposes to post-operative mediastinitis. Biomechanical studies have shown the superiority of rigid plate fixation over wire circlage in sternal healing. We studied rigid plate fixation for sternotomies in high-risk patients.

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Analysis of the immediate and late results of surgery for bilateral detachment of the retina in aphakia performed on 58 eyes of 44 patients has shown that the retina stays adhered to the pigmented epithelium after surgery in 63.79% of patients but later is again detached in half the patients, and the share of good late results is but 37.95%.

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