Anterior chest wall reconstruction with titanium plate sandwiched between two polypropylene sheets

Gen Thorac Cardiovasc Surg. 2012 Sep;60(9):590-2. doi: 10.1007/s11748-012-0048-9. Epub 2012 May 19.

Abstract

Extensive sternal resection carries the risk of difficult reconstruction and surgical complications. A 79-year-old woman underwent sternal resection and reconstruction for sternal chondrosarcoma. However, 18 months after the first operation, she developed six metastatic tumors on the anterior chest wall. She underwent subtotal sternectomy and rib resection, leaving a defect measuring 17 × 14 cm. Reconstruction of the anterior chest wall using a titanium plate sandwiched between two polypropylene mesh sheets is described. This method is potentially applicable to extensive anterior chest resection, and its advantages compared with conventional prostheses are rigidity, flexibility, and usability.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bone Neoplasms / pathology
  • Bone Neoplasms / surgery*
  • Bone Plates*
  • Chondrosarcoma / secondary
  • Chondrosarcoma / surgery*
  • Female
  • Humans
  • Orthopedic Procedures / instrumentation*
  • Osteotomy
  • Plastic Surgery Procedures / instrumentation*
  • Polypropylenes*
  • Prosthesis Design
  • Sternum / diagnostic imaging
  • Sternum / pathology
  • Sternum / surgery*
  • Titanium*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Polypropylenes
  • Titanium