Sternal re-Closure for refractory dehiscence using ultra-high molecular weight polyethylene tape.

Abstract

Ultra-high molecular weight polyethylene tape has been introduced as an alternative to stainless-steel wires for primary sternal closure, yet its efficacy in secondary reconstruction has not been reported. We present a 67-year-old male with refractory sternal dehiscence following coronary artery bypass grafting. Despite two failed reconstruction attempts using conventional wires and the Robicsek technique, stable fixation was finally achieved by combining ultra-high molecular weight polyethylene tape with mesh plates. This case highlights the potential utility of ultra-high molecular weight polyethylene tape as a durable and secure option for secondary sternal closure in patients with refractory sternal dehiscence.