Background
Bar displacement is one of the most serious complications following the Nuss procedure
for pectus excavatum repair. This paper reports a novel method of bar fixation using
ZipFix, a biocompatible cable-tie implant, and shares a series of patients and outcomes.
Methods
This paper describes the ZipFix stabilisation method and presents a case series of
20 patients with pectus excavatum who underwent the Nuss procedure and ZipFix stabilisation
between July 2015 and September 2020.
Results
A total of 34 ZipFixes were implanted in 20 patients. Six (6) patients had one ZipFix
placed and 14 patients had two ZipFixes implanted: 13 were bilateral and one patient
had two ZipFixes placed on the right. There was one incidence of asymptomatic posterior
superior displacement of the right bar. Two (2) patients had wound infections and
one patient had a previously placed bar adjusted and secured with a ZipFix. All patients
had full correction of their chest wall deformity with no recurrence.
Conclusions
This case series shows that the use of ZipFix for Nuss bar fixation is feasible using
this technique.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart, Lung and CirculationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Minimally invasive surgical repair of pectus excavatum.Semin Pediatr Surg. 2008; 17: 209-217
- Indications and techniques of Nuss procedure for pectus excavatum.Thorac Surg Clin. 2010; 20: 583-597
- A new cable-tie based sternal closure system: description of the device, technique of implantation and first clinical evaluation.J Cardiothorac Surg. 2012; 7: 1-5
- Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients.J Pediatr Surg. 2002; 37: 437-445
- A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum.J Pediatr Surg. 2001; 36: 1266-1268
- Early results following the Nuss operation for pectus excavatum – a single-institution experience of 385 patients.Interact Cardiovasc Thorac Surg. 2008; 7: 54-57
- Minimally invasive endoscopic repair of pectus excavatum.Eur J Cardiothorac Surg. 2002; 21: 869-873
- The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients.Ann Thorac Surg. 2004; 77: 289-295
- The Nuss procedure: our experience from the first fifty.Pediatr Endosurg Innov Techniques. 2003; 7: 261-266
- ZipFix versus conventional sternal closure: one-year follow-up.Heart Lung Circ. 2019; 28: 443-449
- Cable ties for chest closure: ZipFix or ZipFail?.J Thorac Cardiovasc Surg. 2018; 156: 1611
- Comparison of the Nuss procedure for pectus excavatum by age and uncommon complications.Osaka City Med J. 2003; 49: 71-76
Article info
Publication history
Published online: February 03, 2022
Accepted:
December 15,
2021
Received in revised form:
November 29,
2021
Received:
November 6,
2021
Identification
Copyright
© 2022 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
