It wasn't until the fifth day after we sent our question that we finally received an answer to our question
J Clin Psyhopharmacol
The common mistakes guide covers frequent errors that lead to these problems
Currently, there are several unresolved questions that warrant further study: 1

Their prospective study included 10 patients treated with this modification of the MIRPE procedure and demonstrated decreased need for multiple bar insertions and flipping of the bar intraoperatively and shorter operative times.[97] Since that time, other groups have published similar, experiences using 3D printed bars based on CT scan images to pre-operatively plan the number of bars, bar length, bar shape, and insertion site.[80][81][95] Similar morphologic outcomes have been reported (compared to hand-bent bars), but there have been improvements in operative time[95], and the number of times the bar needs to be reinserted and flipped intraoperatively.[80][81][95][97] Pre-bent Lorenz pectus bars based on preoperative CT scans are now available via large manufacturers (e,g., Zimmer Biomet, Jacksonville, FL, USA).[98] An additional advantage of custom pre-bent bars is that they are generally manufactured out of titanium, which can be laser-printed based on 3D models, thereby further limiting concerns related to bar allergies ( Table 2)

Desdn-Mic, G