Sternal Re-Closure for Refractory Dehiscence Using Ultra-High Molecular Weight Polyethylene Tape.

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 2 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.