1. Improved Technique of Nitinol Sternal Clip Application
Adrian Ooi, MD, FRCSCTh, Dawn Franklin, SEN, Sunil Ohri, FRCSCTh 
The Annals of Thoracic Surgery 
Volume 87, Issue 6, Pages (June 2009)
DOI: /j.athoracsur
Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
Intercostals grooves are created on either side of the sternal body and then precise sternal midline identified using electrocautery. Before median sternotomy is performed, distance across the sternum is measured for application of correct Flexigrip size (Praesidia, Bologna, Italy).
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Applied Flexigrips (Praesidia, Bologna, Italy) at the end of procedure with the sternum approximated.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions