A novel approach to enhance the mechanical stability of primary sternal closure is described. An osteoconductive bone adhesive is used to augment conventional wire cerclage. More than 30 patients have undergone primary sternal closure using Kryptonite bone adhesive. All patients recovered well with no adverse side effects or adhesive-associated complications. Adhesive-enhanced sternal closure may accelerate functional recovery after sternotomy, improve early outcomes and prevent major sternal complications such as deep sternal wound infection and dehiscence. The technique is simple, safe, and expedient.
