ZipFix sternal closure system – single-centre experience in 20 patients and how to use it

Objectives: Median sternotomy is still the main access for cardiac surgery. Despite the “gold” standard of closing the sternum using single steel wires, there are tremendous different sternum closure systems available (“clips”, “screws and plates”, etc.). We present our experience with the ZipFix sternal closure system (Synthes) for primary sternal closure and a video how to use it. The ZipFix system is a biocompatible zip tie (polyetheretherketon) with a large area of contact between the zip and the sternum with an increase of carrying capacity and sternal stability. The technique for sternal closure is almost similar to using single steel wires.