Rigid Plate Fixation Versus Wire Cerclage: Patient-Reported and Economic Outcomes From a Randomized Trial Keith B. Allen, MD, Vinod H. Thourani, MD,

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Presentation transcript:

Rigid Plate Fixation Versus Wire Cerclage: Patient-Reported and Economic Outcomes From a Randomized Trial Keith B. Allen, MD, Vinod H. Thourani, MD, Yoshifumi Naka, MD, PhD, Kendra J. Grubb, MD, John Grehan, MD, PhD, Nirav Patel, MD, T. Sloane Guy, MD, Kevin Landolfo, MD, Marc Gerdisch, MD, Mark Bonnell, MD, David J. Cohen, MD, MS The Annals of Thoracic Surgery Volume 105, Issue 5, Pages 1344-1350 (May 2018) DOI: 10.1016/j.athoracsur.2017.12.011 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Intraoperative images of (A) rigid plate fixation and (D) wire cerclage, along with (B and E) three-dimensional computed tomography scan reconstructions and (C and F) corresponding axial slices used to assess sternal healing at 6 months. The Annals of Thoracic Surgery 2018 105, 1344-1350DOI: (10.1016/j.athoracsur.2017.12.011) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Pain scores (A) at rest and (B) with coughing. Mean data are shown with the SD (range bars). The percentage of patients who reported having no sternal pain (C) at rest and (D) with coughing is shown. The squares show the odds ratios (ORs) and the horizontal lines indicate the 95% confidence interval (CIs). The Annals of Thoracic Surgery 2018 105, 1344-1350DOI: (10.1016/j.athoracsur.2017.12.011) Copyright © 2018 The Authors Terms and Conditions

Fig 3 The percentage of patients who were pain free as a function of sternal healing is shown. Computed tomography scores were aggregated to represent no to minimal healing (scores from 0 to 2), minimal to moderate healing (2 to 4), and moderate to complete healing (4 to 5). The Annals of Thoracic Surgery 2018 105, 1344-1350DOI: (10.1016/j.athoracsur.2017.12.011) Copyright © 2018 The Authors Terms and Conditions

Fig 4 (A) Physical and (B) mental component quality of life scores on the 36-Item Short Form Health Survey (SF-36; QualityMetric, Lincoln, RI). The Annals of Thoracic Surgery 2018 105, 1344-1350DOI: (10.1016/j.athoracsur.2017.12.011) Copyright © 2018 The Authors Terms and Conditions

Fig 5 (A) Upper extremity functional index (UEFI) scores, presented as means and SD (range bars). (B) Relative odds of patients reporting no difficulty with using their upper extremities. The squares indicate the odds ratio (ORs) and the horizontal lines indicate the 95% confidence intervals (CIs). The Annals of Thoracic Surgery 2018 105, 1344-1350DOI: (10.1016/j.athoracsur.2017.12.011) Copyright © 2018 The Authors Terms and Conditions