Objective: Median sternotomy is the most commonly used method for open heart surgery. Poor sternal healing after median sternotomy can cause a significant increase in morbidity and mortality and prolong hospital stay. Although several techniques are available for sternal closure, it is practically limited, and the most common technique is the simple wire technique. There is insufficient scientific study on the comparison of alternative techniques. The aim of the present study was to compare the follow-up results of the sternotomy closure techniques: sternal cable and simple wire.