Mesh–bone cement sandwich for sternal and sternoclavicular joint reconstruction

Collaud, Stéphane; Pfofe, Denis; Decurtins, M; Gelpke, Hans

doi:10.1093/ejcts/ezs512

Cited by 9 publications

(5 citation statements)

References 6 publications

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“…To date, methods to reconstruct the chest wall, including the pleura and muscular layers, have involved using synthetic materials and covering them with autologous flaps if needed [3][4][5]. Rigid prostheses have also been used for the reconstruction of defects of the rib cage.…”

Section: Discussionmentioning

confidence: 99%

“…Various prosthetic materials have been used for reconstruction. There are methods to reconstruct pleura and soft tissue using synthetic materials such as polypropylene and polyester [ 3 ] and to perform rigid fixation in skeletal reconstruction by sandwiching bone cement between these materials [ 4 , 5 ]. However, these methods have major disadvantages.…”

Section: Introductionmentioning

confidence: 99%

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Acellular dermal matrix and bone cement sandwich technique for chest wall reconstruction

et al. 2022

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The authors performed rigid reconstruction using the sandwich technique for full-thickness chest wall defects by using two layers of acellular dermal matrix and bone cement. We assessed six patients who underwent chest wall reconstruction. Reconstruction was performed by sandwiching bone cement between two layers of acellular dermal matrix. In all patients, there was no defect of the overlying soft tissue, and primary closure was performed for external wounds. The average follow-up period was 4 years (range, 2–8 years). No major complications were noted. The sandwich technique can serve as an efficient and safe option for chest wall reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acellular dermal matrix and bone cement sandwich technique for chest wall reconstruction

et al. 2022

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“…A retrospective study from the Mayo Clinic reported a 10-year disease-free survival of 95.4% with wider excision versus 65.4% with local excision, and a 52.1% recurrence rate in the latter group. 5 The important prognostic factors for long-term survival are tumor diameter, location, histopathologic grading, and complete excision with wide margins.…”

Section: Discussionmentioning

confidence: 99%

Recurrent high-grade chondrosarcoma abutting the right ventricular outflow tract

Bansal

Gupta

Bhattacharya

et al. 2019

Asian Cardiovasc Thorac Ann

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Chondrosarcoma is the most common malignancy of the sternum. Removal of the sternum for a malignant tumor results in large defects in bone and soft tissue, causing deformity and paradoxical chest wall movement, making subsequent repair of the thorax very important. Herein we report a rare case of recurrent anterior chest wall chondrosarcoma after surgery 4 years earlier. The patient underwent resection of the chondrosarcoma followed by three-layer chest wall reconstruction with a split rib graft for the bony defect. He had an uneventful postoperative course and was healthy at 9 months postoperatively.

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“…From these first prostheses many other different techniques have been proposed for rigid chest wall reconstruction with variable results such as the use of other mesh-bone cement sandwiches ( 66 ), Kirschner wires ( 67 ), steel sutures ( 68 ), ceratite prosthesis ( 69 ), porous alumina ( 70 ), Ley prosthesis ( 71 ), rib-like technique ( 72 ) or customized sternal plates ( 73 , 74 ) but titanium-based devices are by far the most commonly used nowadays. They have clear advantages over other systems (biocompatibility, osseointegration, resistance to infection, a high strength/weight ratio and low optical density), although they are not free of complications similar to other devices such as rupture, displacement, thoracic pain or infection ( 47 , 50 ).…”

Section: Reconstruction Techniquesmentioning

confidence: 99%

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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Mesh–bone cement sandwich for sternal and sternoclavicular joint reconstruction

Cited by 9 publications

References 6 publications

Acellular dermal matrix and bone cement sandwich technique for chest wall reconstruction

Acellular dermal matrix and bone cement sandwich technique for chest wall reconstruction

Recurrent high-grade chondrosarcoma abutting the right ventricular outflow tract

Sternal resection and reconstruction: a review

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