Polymer cable tie closure of the sternum: Is it an acceptable fix?

It was enlightening to read the insightful letter to the Editor by Tam and Fremes1 regarding the randomized, controlled trial (RCT) conducted by Marasco and colleagues2 to compare ZIPFIX ties (DePuy Synthes, West Chester, Pa) with traditional wire cerclage for primary sternal closure. The investigators reported no difference in postoperative pain between the 2 groups (primary outcome). Follow-up ultrasonography, however, showed more movement in the ZIPFIX group, suggesting sternal instability. Notably, ultrasonographic follow-up in this study was incomplete, and ultrasonographically documented sternal dehiscence was not the primary outcome.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Adult: Sternal Closure: Letter to the Editor Source Type: research