Loosen Zipfix: A Case Report

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.