Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, Singapore.
Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, Singapore.
Heart Lung Circ. 2022 Jun;31(6):889-893. doi: 10.1016/j.hlc.2021.12.012. Epub 2022 Feb 3.
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.
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.
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.
This case series shows that the use of ZipFix for Nuss bar fixation is feasible using this technique.
Nuss 手术修复漏斗胸后，移植物移位是最严重的并发症之一。本文报告了一种使用 ZipFix（一种生物相容性的缆线结扎植入物）固定移植物的新方法，并介绍了一系列患者及其治疗结果。
本文描述了 ZipFix 稳定方法，并介绍了 2015 年 7 月至 2020 年 9 月期间接受 Nuss 手术和 ZipFix 稳定治疗的 20 例漏斗胸患者的病例系列。
共有 34 个 ZipFix 被植入 20 名患者中。6 名患者植入了一个 ZipFix，14 名患者植入了两个：13 名患者为双侧，1 名患者在右侧植入了两个 ZipFix。有 1 例右侧移植物出现无症状后上移位。2 例患者出现伤口感染，1 例患者之前植入的移植物调整并用 ZipFix 固定。所有患者的胸廓畸形均得到完全矫正，无复发。
本病例系列表明，使用该技术，ZipFix 可用于 Nuss 移植物固定。
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