BACKGROUND: Wire closure still remains the preferred technique despite 
reasonable disadvantages. Associated complications, such as infection and 
sternal instability, cause time- and cost-consuming therapies. We present a new 
tool for sternal closure with its first clinical experience and results.
METHODS: The sternal ZipFix(TM) System is based on the cable-tie principle. It 
primarily consists of biocompatible Poly-Ether-Ether-Ketone implants and is 
predominantly used peristernally through the intercostal space. The system 
provides a large implant-to-bone contact for better force distribution and for 
avoiding bone cut through.
RESULTS: 50 patients were closed with the ZipFix(TM) system. No sternal 
instability was observed at 30 days. Two patients developed a mediastinitis that 
necessitated the removal of the device; however, the ZipFix(TM) were intact and 
the sternum remained stable.
CONCLUSIONS: In our initial evaluation, the short-term results have shown that 
the sternal ZipFix(TM) can be used safely and effectively. It is fast, easy to 
use and serves as a potential alternative for traditional wire closure.