Closure counts:
Get home sooner
8 day average
hospital stay for patients treated with rigid plate fixation compared to 12 days for wire cerclage1
Feel less pain
25% reduction in pain scores
for patients treated with rigid fixation vs. wire cerclage2
Need fewer narcotics
59% reduction in opioids
prescribed for patients treated with rigid plate fixations vs. wire cerclage3
Bone healing
70% of patients
who had rigid fixation had evidence of sternal union at 6 months compared to 24% for wire cerclage4
Patient stories:
Every patient’s journey is unique. Explore these inspiring stories and see how a SternalPlate procedure helped bring smiles back to their faces. Take the first step toward your patient’s success story today.
Hear more from Dr. Keller:
Videos from Dr. Keller
Dr. Keller and rigid fixation
Benefits to patients and hospital
Examples of patient impact
Count on us
Ease of use
VariSpeed Driver provides pressure sensitive variable speed control up to 400rpms
SMARTLock Technology
Locking plate provides two points of fixation, designed to provide stability and locking capability up to 10° angulation in every direction5
Manubrium Plate
2.0mm plate thickness provides a low-profile design to reduce palpability
Customization
Modular system allows for customization and ease of sterilization.
55%
stronger out-of-plane bending compared to a competitive product6
50%
stronger in-plane bending compared to a competitive product6
ERAS
“The Enhanced Recovery After Surgery Society’s mission is to develop perioperative care and to improve recovery through research, education, audit and implementation of evidence-based practice. ERAS is a multimodal, transdisciplinary care improvement initiative to promote recovery of patients undergoing surgery throughout their entire perioperative journey. These programs aim to reduce complications and promote an earlier return to normal activities. Evidence-based ERAS protocols have been published across multiple surgical specialties.”8
In 2019, ERAS released the following guidelines for rigid fixation for sternal closure: “Rigid sternal fixation has benefits in patients undergoing sternotomy and should be especially considered in individuals at high risk, such as those with a high body mass index, previous chest wall radiation, severe chronic obstructive pulmonary disorder, or steroid use. Rigid sternal fixation can be useful to improve or accelerate sternal healing and reduce mediastinal wound complications (class IIa, level B-R).”8
Connect with your local representative
References
- Tugulan, C. I., Spindel, S. M., Bansal, A. D., Bates, M. J., & Parrino, E. P. (2020). Does elective sternal plating in morbidly obese patients reduce sternal complication rates? The Annals of Thoracic Surgery, 110(6), 1898–1903. https://doi.org/10.1016/j.athoracsur.2020.04.027.
- Raman, J., Lehmann, S., Zehr, K., De Guzman, B. J., Aklog, L., Garrett, H. E., MacMahon, H., Hatcher, B. M., & Wong, M. S. (2012). Sternal closure with rigid plate fixation versus wire closure: A randomized controlled Multicenter Trial. The Annals of Thoracic Surgery, 94(6), 1854–1861. https://doi.org/10.1016/j.athoracsur.2012.07.085.
- Gerdisch, M. W., Johns, C. M., Barksdale, A., & Parikshak, M. (2024). Rigid sternal fixation and enhanced recovery for opioid-free analgesia after cardiac surgery. The Annals of Thoracic Surgery, 118(4), 931–939. https://doi.org/10.1016/j.athoracsur.2024.06.032
- Raman J, Lehmann S, Zehr K, De Guzman BJ, Aklog L, Garrett HE, MacMahon H, Hatcher BM, Wong MS. Sternal closure with rigid plate fixation versus wire closure: a randomized controlled multicenter trial. Ann Thorac Surg. 2012 Dec;94(6):1854-61. doi: 10.1016/j.athoracsur.2012.07.085. Epub 2012 Oct 25. PMID: 23103010.
- Stryker data on file -Ti 301.02I.
- Report_TI5097_SternalPlate – Dynamic construct strength.
- Park JS, Kuo JH, Young JN, Wong MS. Rigid Sternal Fixation Versus Modified Wire Technique for Poststernotomy Closures: A Retrospective Cost Analysis. Ann Plast Surg. 2017 May;78(5):537-542. doi: 10.1097/SAP.0000000000000901. PMID: 27740952.
- Engelman, D. T., Ben Ali, W., Williams, J. B., Perrault, L. P., Reddy, V. S., Arora, R. C., Roselli, E. E., Khoynezhad, A., Gerdisch, M., Levy, J. H., Lobdell, K., Fletcher, N., Kirsch, M., Nelson, G., Engelman, R. M., Gregory, A. J., & Boyle, E. M. (2019). Guidelines for perioperative care in cardiac surgery. JAMA Surgery,154 (8), 755. https://doi.org/10.1001/jamasurg.2019.1153.
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