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Cardiothoracic Surgery |

Sternal Stabilization After Trauma and/or Surgery: ZipFix® System Versus Standard Techniques

Cosimo Lequaglie*, MD; Gabriella Giudice, MD; Rita Daniela Marasco, MD; Aniello Della Moret, MD
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IRCCS-CROB Centro di Riferimento Oncologico Basilicata, Rionero in Vulture PZ, Italy


Chest. 2012;142(4_MeetingAbstracts):68A. doi:10.1378/chest.1388989
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Abstract

SESSION TYPE: Thoracic Surgery Posters II

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: Evaluate the effectiveness of the new system of sternal stabilization named ZipFix® (Synthes) similar for the use of cable ties in poly-ether-ether-ketone (PEEK), biocompatible and radiolucent (no-scattering Rx standard, CT and MRI). The aim of this study is, therefore, consisted in bringing the benefits in terms of results in the short and long term duration/cost of the procedure and hospital stay, functional restoration even in patients at risk of dehiscence (osteoporosis, kidney failure, diabetes, COPD, hemorrhage, reoperation, mechanical ventilation, tracheotomy, radiation, obesity).

METHODS: The cable ties are in large base of contact with the bone and equipped with needle plate and removable chamfer steel; were implanted through the intercostal space and in the parasternal in number of 3-5 from I to V space, according to the situation. Anatomically, the condition being treated or the preferences of the surgeon, with an mean duration of implant procedure about 16 minutes. Throughout the year 2011 the system was used with PEEK cable ties only for the synthesis of longitudinal median sternotomy in 6 patients.

RESULTS: Short-term results: chest pain treated with 30 mg of ketorolac for three times a day to the removal of any drainage, absence of superficial and deep infections, bleeding (0% of cases), lack of early dehiscence and instability; mean duration of implant procedure 16 minutes. For long-term results: chest pain lag for the first 3 months and controlled effectively by administering paracetamol (500 mg in 80% of cases), absence of dehiscence, instability/deformation and chronic infections; excellent aesthetic results in 100% of cases, functional restoration and return to work after 40 days.

CONCLUSIONS: Furthermore, this system can be combined with other methods of fixing sternal in relation to the choices of the surgeon and requires a rapid learning curve thanks to the considerable maneuverability and ease of installation.

CLINICAL IMPLICATIONS: Due to the nature and mechanical performances of the polymeric material they are made of the cable ties ZipFix ® are definitely innovative and advantageous compared to other standard methods of sternal osteosynthesis.

DISCLOSURE: The following authors have nothing to disclose: Cosimo Lequaglie, Gabriella Giudice, Rita daniela Marasco, Aniello Della Moret

No Product/Research Disclosure Information

IRCCS-CROB Centro di Riferimento Oncologico Basilicata, Rionero in Vulture PZ, Italy

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