中文摘要：

心脏的外科现在在整个世界是很普通的操作。中部的 sternotomy 是在开的心外科期间为心脏的存取要求的一项例行手续。在心脏的外科以后的这个过程的复杂并发症从 0.7% ～ 1.5% 所有情况，并且如果他们发生，忍受高死亡率。每位单个外科医生必须在胸骨的闭合期间在每个细节上给予大注意。这篇文章至于中部的 sternotomy 闭合的常规信息和更新的进步显示出细节。更改内容在 biomechanics 包含，电线的数字扭动， biomaterial 等等。根据我们的经验，我们为胸骨的闭合推荐四根 peristernal 单个 / 双钢电线为我们的最佳的选择。

英文摘要：

Cardiac surgery is a very common operation nowadays all over the world. Median sternotomy is a routine procedure required for cardiac access during open heart surgery. The complications of this procedure after the cardiac surgery range from 0.7% to 1.5% of all cases, and bear a high mortality rate if they occur. Every individual surgeon must pay great attention on every detail during the sternal closure. This article shows the details as to conventional information and updated progress on median sternotomy closure. The update contents involve in biomechanics, number of wires twists, biomaterial and so on. According to our experience, we recommend four peristernal single/double steel wires for sternal closure as our optimal choice.