Enhanced recovery after surgery (ERAS) protocols recognize early postoperative mobilization as a driver of faster postoperative recovery, return to normal activities, and improved long-term patient outcomes. For patients undergoing open cardiac surgery, an opportunity for facilitating earlier mobilization and a return to normal activity lies in the use of improved techniques to stabilize the sternal osteotomy. By following the key orthopedic principles of approximation, compression, and rigid fixation, a more nuanced approach to sternal precaution protocols is possible, which may enable earlier patient mobilization, physical rehabilitation, and recovery.
Recommended CitationGerdisch, Marc W; Allen, Keith B; Naka, Yoshifumi; Bonnell, Mark R; Landolfo, Kevin P; Grehan, John; Grubb, Kendra J; Cohen, David J; Guy, T. Sloane; Patel, Nirav C; and Thourani, Vinod H, "Orthopedic Principles to Facilitate Enhanced Recovery After Cardiac Surgery" (2020). Department of Surgery Faculty Papers. Paper 191.
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