Cable ties for chest closure: ZipFix or ZipFail?

Tam, Derrick Y.; Fremes, Stephen E.

doi:10.1016/j.jtcvs.2018.05.030

Cited by 4 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, in another study, the use of the rigid plate fixation technique reduced the sternal complications and improved the sternal healing than wire cerclage. Tam et al suggested implementing the principle behind this study with ZipfFx to improve the outcomes [21,22] All these studies have claimed the reduction of postoperative complications but failed to demonstrate statistical significance. Several post-surgical complications (e.g., sternal dehiscence, sternal bleeding, infections, and prolong extubation time, among others) appear to be less in the sternal cable technique.…”

Section: Discussionmentioning

confidence: 99%

Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires

Dhir¹,

Kumar²,

Saklani³

et al. 2020

IJCTS

View full text Add to dashboard Cite

Median sternotomy is the most commonly used and the standard way of an incision after cardiothoracic procedures. The use of stainless steel wire has been considered the gold standard in the sternal closure system; however, increasing postoperative complications have caused other options. The aim of this study is to understand the combined effect of the ZipFix bands with steel wires on postoperative outcomes after sternal closure. This is a real-world evidence study of patients treated using the ZipFix band and steel wires. The sternal closure is performed by fixing of manubrium with straight simple wires, followed with ZipFix 3 or 4 spaces. Demographic characters of patients using the ZipFix band and steel wire and their relation to sternal infections, wound dehiscence, and post-surgical outcomes are studied. From gathered evidence, 2% of patients' cases were complicated with the incidence of sternal infections. Ninety-nine percentage of patients had a stable and healthy wound while 1% of patients showed sternal wound dehiscence. The mean duration of hospital and intensive care unit stay was 8.53 (± 4.84) days and 3.58 (± 5.01) days respectively. The use of the sternal ZipFix system in combination with stainless steel wire is found to be effective in reducing post-surgical complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Post-Surgical Outcomes After Sternal Closure Using Zipfix Band and Steel Wires

Dhir¹,

Kumar²,

Saklani³

et al. 2020

IJCTS

View full text Add to dashboard Cite

show abstract

“…48 Independent criticism of these conflicting studies has noted that both are limited by lack of definition/standardization of wiring technique, different choice of outcomes, and biases in study design and reporting. 49,50 Given further conflicting results in biomechanical studies comparing conventional versus figure-of-8 wire cerclage, polymer cable ties, and steel bands, 42,43 higher-quality data are required before definitive conclusions can be reached about the appropriate role of polymer cable ties in the sternal closure toolkit. Of key importance, despite their proposed advantages over wires and bands, polymer cable ties also do not provide orthopedic stabilization of the osteotomy and are not considered rigid fixation.…”

Section: Polymer Cable Tiesmentioning

confidence: 99%

Orthopedic Principles to Facilitate Enhanced Recovery After Cardiac Surgery

Gerdisch

Allen

Naka

et al. 2020

Critical Care Clinics

View full text Add to dashboard Cite

Early patient mobilization is a major driver of recovery after cardiac surgery with open sternotomy. Instability of the healing sternal osteotomy hinders postoperative patient movement, causes pain, and puts patients at risk of complications, necessitating restrictive sternal precaution protocols. Sternal closure with wire cerclage does not adequately satisfy the three fundamental principles of orthopedic healing: approximation, compression, and rigid fixation. Selection of sternal closure methods according to orthopedic principles promotes accelerated recovery and return to normal activities while reducing pain and requirements for opioid analgesics.

show abstract