eComment. Complex and novel versus simple and traditional approaches for sternal closure

Abstract

I congratulate Grabert and colleagues for presenting their experience with a novel sternal closure system [1]. Mechanical sternal stabilization devices (MSSD) have significantly developed in the last decade. Although many theoretical advantages have been proposed, the clinical results may be controversial [2]. The plates usually include large holes and the screws occupy significant space in the sternum, which may become a nidus for bacterial growth and invasion. Herein, I would like to emphasize some major advantages of the traditional wiring originally described by Robicsek et al. [3].