Autologous ilium graft combination with Y-shaped titanium plate fixation for chest wall reconstruction after resection of primary sternal tumors—a clinical study from three institutions

Xu, Shuonan; Dou, Yawei; Zhao, Guosheng; Zhu, Jianfei; Tian, Wei; Sun, Wei; Liu, Zongzhi; Wang, Hongtao

doi:10.21037/tcr.2019.12.36

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…Из-за отсутствия в настоящее время клинических рекомендаций по выбору варианта реконструкции способ замещения определяется в каждом центре индивидуально [10]. При изготовлении индивидуального импланта в большинстве случаев используется титановый сплав, который ввиду высокой прочности и ригидности обеспечивает надлежащий уровень каркасности грудной стенки и не нарушает биомеханику дыхания [6,9,10].…”

Section: Discussionunclassified

“…Внедрение подобного индивидуализированного подхода в первую очередь позволяет решить ключевую проблему всех предшествующих вариантов реконструкции грудной стенки -печать выполняется на основании данных конкретного пациента, что позволяет эффективно заместить дефект. Возможности трехмерной печати позволяют использовать различные материалы для изготовления имплантов: титан, полиэфирэфиркетон, метилметакрилат [2,9].…”

Section: аннотацияunclassified

“…Исходы использования аддитивных технологий в протезировании дефектов грудной стенки после обширных резекций по поводу злокачественных опухолей значительно варьируют [5,9,10]. Нами представлены два случая замещения индивидуализированными 3D-имплантами обширных дефектов грудной стенки после ее резекции по поводу опухолевого поражения: в первом случае наблюдалось полное восстановление, во втором потребовалось удаление конструкции; разобраны возможные факторы риска неблагоприятного исхода.…”

Section: аннотацияunclassified

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Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases

Валиев¹,

Кононец²,

Харатишвили³

et al. 2023

jour

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3D printing has opened new opportunities for the development of personalized systems for prosthetics of extensive chest wall defects after radical surgical interventions for malignant tumors. However, risk factors for an adverse outcome of such operations have not yet been identified.Clinical cases. A 65-year-old man with primary chondrosarcoma of the V rib, underwent surgical resection of three ribs, plasty with local tissues, and an individual 3D printed titanium implant was installed on the sternum and IV-VI ribs. Follow up for 26 months showed no complaints or signs of recurrence. A 52-year-old woman with radiation-induced soft tissue sarcoma of the chest wall, that developed 9 years after radiation for breast cancer, underwent resection of four ribs and pectoral muscles and a 3D printed titanium implant was installed on the sternum and II-V ribs. The operation was complicated by the marginal necrosis of the soft tissue flap and infection of the endoprosthesis, which required removal of the metal structure and reconstruction using TRAM flap. After 9 months, a local recurrence of the tumor was diagnosed. Discussion. As a factor of a positive outcome in a man should be noted a thick layer of subcutaneous fat with muscle tissue, due to which plastic surgery was performed, covering the defect without tension. An extensive resection of the pectoral muscles in a woman created a tissue deficit. Another factor of an unfavorable outcome can be considered the radio-induced nature of the sarcoma. Further research is needed to improve the strategy for selecting patients with malignant tumors of the chest wall for prosthetics.

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Section: Discussionunclassified

Section: аннотацияunclassified

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Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases

Валиев¹,

Кононец²,

Харатишвили³

et al. 2023

jour

View full text Add to dashboard Cite

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“…After resection, the integrity of the thorax is damaged and must be reconstructed [7] . A variety of materials can be used for reconstruction, and digital materials have attracted much attention in recent years [8][9][10][11] . The biggest feature of this material is personalized design, which can design special materials according to the characteristics of special lesions [10,11] .…”

Section: Discussionmentioning

confidence: 99%

Chest wall reconstruction with MatrixRIB after resection of primary chest wall abscess and sternal osteomyelitis

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Case Rep. Surg.

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Primary chest wall abscess is a rare chest wall disease. With the continuous enhancement of antibacterial efficacy of antibacterial drugs, such diseases showed a downward trend. Recently, we received a 65-year-old male patient with primary chest wall abscess and sternal osteomyelitis. We first removed his lesion completely, and then reconstructed the chest wall with MatrixRIB plates and achieved satisfactory results. This article reports the operation of this patient.

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“…Moreover, the combination of the graft with the fixation bars results in fact in a “rigid plate-effect” with consequences very similar to those of methylmethacrylate sandwiches. In this sense, the largest published series ( 56 ) registered up to 66% of postoperative complications, most of them cardiopulmonary.…”

Section: Reconstruction Techniquesmentioning

confidence: 95%

Sternal resection and reconstruction: a review

Aranda,

Gomez,

Fuentes

et al. 2024

J Thorac Dis

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Sternal resection and reconstruction is a rare but sometimes challenging procedure due to its profound anatomical and functional implications. For these reasons, an adequate preoperative evaluation is crucial in each patient, especially when we are faced with malignant lesions that sometimes require extensive radical resections, thus demanding an integrated reconstructive strategy that allows stabilizing the chest wall, protecting the underlying mediastinum and minimize resulting deformity. The large number of available reconstruction techniques and the lack of quality studies for their analysis mean that sternal reconstruction depends to a great extent on the consensus of experts or, more frequently, on the simple preference of each surgical team. This article aims to provide an overview of sternal resection and reconstruction. Indications for partial versus total or subtotal sternectomy are suggested and their surgical and oncological outcomes are presented. The use of rigid or semi-rigid prostheses is an ongoing debate, although recent functional data advise reserving rigid reconstructions for extensive defects. Sternectomy for primary tumors or local tumor involvement has a good prognosis with an overall survival of 5 and 10 years: 67% and 58%, respectively, provided that a radical resection with free surgical margins is performed. Breast cancer is the most common secondary sternal tumor, and surgery can offer 5-year overall survival ranging from 20% to 50% provided an R0 resection is achieved, although radical surgery does not appear to decrease rates. of recurrence. Metastases of origin other than the breast give the worst results (less than 40% at 36 months and 0% at 5 years) and although the data available on these cases are limited, the radicality of the resection does not seem to modify the survival or recurrence rates, so a conservative approach is probably more appropriate.

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Autologous ilium graft combination with Y-shaped titanium plate fixation for chest wall reconstruction after resection of primary sternal tumors—a clinical study from three institutions

Cited by 5 publications

References 22 publications

Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases

Personalized 3D printed implants in the treatment of extensive chest wall tumors: clinical cases

Chest wall reconstruction with MatrixRIB after resection of primary chest wall abscess and sternal osteomyelitis

Sternal resection and reconstruction: a review

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