Loosen Zipfix: A Case Report
Published: 2021-02-20
Page: 143-145
Issue: 2021 - Volume 4 [Issue 1]
B. Anand Kumar *
Department of Surgery, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
I. M. Ishamuddin
Division of Cardiothrocic Surgery, Hospital Canselor Tuanku Muhriz,Universiti Kebangsaan Malaysia Medical Center, Cheras, Kuala Lumpur, Malaysia.
H. Hairulfaizi
Division of Cardiothrocic Surgery, Hospital Canselor Tuanku Muhriz,Universiti Kebangsaan Malaysia Medical Center, Cheras, Kuala Lumpur, Malaysia.
A. R. M. Ramzisham
Division of Cardiothrocic Surgery, Hospital Canselor Tuanku Muhriz,Universiti Kebangsaan Malaysia Medical Center, Cheras, Kuala Lumpur, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Traditional primary sternal closure after cardiac surgery by steel wire cerclage is the standard technique for most centers worldwide. There is an increase usage of other methods, namely the zipfix (DePuy Synthes CMF, West Chester, Pa), as an alternative to standard wire cerclage, which claimed to be of superior functionality and outcome. We share our experience in using zipfix in one of our patients post Coronary Artery Bypass Grafting (CABG) Surgery, in which the latch within locking mechanism became loose nine months after surgery. The aim of this case report is to shed light on the usage of zipfix. We believe that the incidence of tear and wear of mechanical device, zipfix is under reported.
Keywords: Loosen Zipfix, cardiac surgery, CABG, coronary artery.