The publication
The study is titled “Safety Evaluation of the RibXcar Technique Using the Piezotome: An Analysis of Surgical Complications” and was published in PRS Global Open (2025), with Dr. Raúl Manzaneda Cipriani among its authors. It is available at its official source: doi.org/10.1097/GOX.0000000000007130.
What the study measured
It is a retrospective survey-based analysis of 113 plastic surgeons performing rib remodeling. 2.65% reported serious complications (pneumothorax/hemothorax). The analysis, using multivariable logistic regression, found no statistically significant association between piezotome use and a lower incidence of complications. The safety evidence is complemented by the prospective 328-patient cohort at one year.
Frequently asked questions
How safe is rib remodeling according to this study?
In a survey of 113 surgeons using the technique, 2.65% reported serious complications. No surgical procedure is free of risk; outcomes depend on indication and execution.
How many surgeons was the study based on?
On 113 plastic surgeons performing rib remodeling (RibXcar), in a retrospective analysis published in PRS Global Open (2025).
Where is it published?
In PRS Global Open (2025). The DOI is linked on this page.
Keep exploring the evidence
Rib remodeling (RibXcar) →
All the scientific evidence →
The foundational study (e5499) →
This page is informational and cites published, verifiable evidence. It does not replace medical consultation: every case must be evaluated by a qualified plastic surgeon.