Objective: Difficulties with sternal bone healing or infection after a median sternotomyperformed for open cardiac surgery can result in significant morbidity and mortality. Thisstudy evaluates the efficacy, safety, advantages, disadvantages, and techniques related to theuse of thermoreactive nitinol clips (TRNCs) to treat sternal dehiscence.Methods: TRNCs were used to close the sternum in 40 patients (26 male, 14 female; meanage: 60±4 years, range: 45–76 years) with sternal dehiscence that developed following primarycardiac surgery between July 2010 and February 2019. Sternum revision was performedat a mean of 72±4 days postoperative (range: 9–255 days). Vacuum-assisted closure (VAC)was applied before the surgical intervention in 55% (n=22) of the patients due to superficialwound infection.Results: Pleurisy was observed in 1 patient, and pneumonia developed in 1 patient after therevision. Mortality did not occur during hospitalization. The nitinol plates were removed ina second revision surgery in 9 patients: a pectoralis flap was created for 3, a reconstructiverectus flap was used in 1, and primary wound closure was implemented in 5 cases due torecurrent wound infection. Mortality was recorded in 1 patient in the postoperative period.Sternotomy complications of recurrent sternal dehiscence, mediastinitis, sternal abscess, orsecondary osteomyelitis were not observed in 6 months of follow-up.Conclusion: Surgical interventions for sternal dehiscence should optimally be performed inthe early period to decrease the risk of dehiscence secondary to infection and mediastinitis.The use of TRNCs for patients with sternal dehiscence was successful and decreased theduration of hospital stay and the risk of postoperative complications, as well as providinggreater patient comfort.