Median sternotomy

Jump to navigation Jump to search

WikiDoc Resources for Median sternotomy


Most recent articles on Median sternotomy

Most cited articles on Median sternotomy

Review articles on Median sternotomy

Articles on Median sternotomy in N Eng J Med, Lancet, BMJ


Powerpoint slides on Median sternotomy

Images of Median sternotomy

Photos of Median sternotomy

Podcasts & MP3s on Median sternotomy

Videos on Median sternotomy

Evidence Based Medicine

Cochrane Collaboration on Median sternotomy

Bandolier on Median sternotomy

TRIP on Median sternotomy

Clinical Trials

Ongoing Trials on Median sternotomy at Clinical

Trial results on Median sternotomy

Clinical Trials on Median sternotomy at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Median sternotomy

NICE Guidance on Median sternotomy


FDA on Median sternotomy

CDC on Median sternotomy


Books on Median sternotomy


Median sternotomy in the news

Be alerted to news on Median sternotomy

News trends on Median sternotomy


Blogs on Median sternotomy


Definitions of Median sternotomy

Patient Resources / Community

Patient resources on Median sternotomy

Discussion groups on Median sternotomy

Patient Handouts on Median sternotomy

Directions to Hospitals Treating Median sternotomy

Risk calculators and risk factors for Median sternotomy

Healthcare Provider Resources

Symptoms of Median sternotomy

Causes & Risk Factors for Median sternotomy

Diagnostic studies for Median sternotomy

Treatment of Median sternotomy

Continuing Medical Education (CME)

CME Programs on Median sternotomy


Median sternotomy en Espanol

Median sternotomy en Francais


Median sternotomy in the Marketplace

Patents on Median sternotomy

Experimental / Informatics

List of terms related to Median sternotomy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]


Median sternotomy is a type of surgical procedure in which a vertical inline incision is made along the sternum, after which the sternum itself is divided, or cracked. This procedure provides access to the heart and lungs for surgical procedures such as heart transplant, corrective surgery for congenital heart defects (CHD's), or coronary artery bypass surgery.

Median sternotomy is often mistakenly referred to as open heart surgery; however, open heart involves incision of the pericardium, and many median sternotomy procedures do not require this. Open heart usually involves the use of a cardiopulmonary bypass, also known as a heart-lung machine.


Complications of median sternotomy are infrequent but are very grave. Complications are seen usually in the time frame of 1-2 weeks after the surgery. They can be categorized into



Physical Examination

Chest X Ray

CT Scan

  • Progressive widening of the lucency in the sternum post operatively indicate sternal separation.
  • Retrosternal, soft circumscribed mass - hematoma



  • Sternal wound support
  • Lifting restrictions
    • Weight restriction on unilateral lifting
    • Weight restriction on bilateral lifting
    • Restricting the height an object can be lifted, and the size of the object being lifted
  • Weight restrictions specified initially to prevent sternal dehiscence
  • No overhead lifting
  • Transfer precautions
    • Unilateral pushing and unilateral pulling are movements most commonly restricted during hospitalization and at discharge.
    • The use of bilateral upper-limb movements, producing a symmetrical load on the sternum, may be more beneficial for sternal healing compared with the asymmetrical loads produced by unilateral upper limb movements.
  • Mobility aid restriction
    • When the use of mobility aid restrictions is considered in combination with lifting and transfer restrictions, it is evident that there is immense potential to have a detrimental impact on patient recovery, including functional capacity and ability to perform necessary activities of daily living(ADL) tasks.
    • Time required to attain independent mobility can also could be affected, potentially leading to an increased length of stay and greater resource utilization.
Rationale for restrictions
  • Prevention of incision dehiscence
  • Prevention of sternal instability
  • Prevention of sternal breakdown and infection
  • Pain management

See also


  1. Tuyl LJ, Mackney JH, Johnston CL (2012). "Management of sternal precautions following median sternotomy by physical therapists in Australia: a web-based survey". Phys Ther. 92 (1): 83–97. doi:10.2522/ptj.20100373. PMID 21949431. Unknown parameter |month= ignored (help)

Template:Cardiac surgery

Template:WikiDoc Sources Template:WH