From the aDepartment of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC

bRutgers Robert Wood Johnson Medical School, New Brunswick, NJ

cGeorgetown University School of Medicine

dDepartment of Plastic and Reconstructive Surgery, MedStar Washington Hospital Center, Washington, DC.

Received September 28, 2023, and accepted for publication, after revision March 11, 2024.

Conflicts of interest and sources of funding: The MedStar Georgetown University Hospital Department of Plastic and Reconstructive Surgery, specifically authors L.E.B., D.H.S., and K.L.F., received a grant through an investigator-initiated study funded by Integra Lifesciences Corporation (Princeton, NJ), who provided the resources to perform the data collection and analyses. D.H.S. receives royalties from Elsevier for Plastic Surgery, third and fourth editions, and Biomet Microfixation for Sternalock. The other authors have no financial disclosures, commercial associations, or any other conditions posing a conflict of interest to report.

Reprints: Kenneth L. Fan, MD, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC 20007. E-mail: [email protected].

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