A Prospective, Single Center, Observational Study to Assess the Rapid Recovery After Cardiac Surgery Using SternaLock XP

Inclusion Criteria: * Male and female * ≥ 18 years of age, no upper limit * Undergoing a full standard midline sternotomy as part of an elective or urgent cardiac surgical procedure \[i.e., coronary artery bypass graft (CABG) and/ or valve replacement\] and closed with the SternaLock XP Rigid Fixation System * Willing to sign Informed Consent prior to the cardiac surgical procedure * Willing and able to provide follow-up information up to 60-days post-operative Exclusion Criteria: Inclusion Criteria * Male and female * ≥ 18 years of age, no upper limit * Undergoing a full standard midline sternotomy as part of an elective or urgent cardiac surgical procedure \[i.e., coronary artery bypass graft (CABG) and/ or valve replacement\] and closed with the SternaLock XP Rigid Fixation System * Willing to sign Informed Consent prior to the cardiac surgical procedure * Willing and able to provide follow-up information up to 60-days post-operative Exclusion Criteria Pre-operative * Emergent or salvage cardiac acuity, i.e., patients undergoing cardiopulmonary resuscitation en-route to the operating room or prior to induction of anesthesia * Active or latent infection (with positive culture) * Documented foreign body sensitivity, allergy, or intolerance to metals. * Rapid bone absorption condition, metabolic bone disease, cancer, tumor, or tumor like condition of the bone, end-stage malignant disease, or other unexplained disease. * Mental/ neurologic conditions rendering patients unwilling or incapable of following post-operative care instructions. * Functional disability affecting gait, balance or mobility. Operative * Delayed sternal closure required for any reason (e.g., sent to ICU with open chest wound) * Intra-operative conditions that, in the opinion of the operating surgeon, would preclude the use of rigid plate fixation. * Insufficient quantity of sternal bone or limited blood supply as assessed by the operating surgeon using his or her professional judgment at the time of closure. * Intraoperative death prior to device placement