Repair of huge thoracic defect combined with hernia after multimodality treatment of breast cancer

Abstract

A case of the successful reconstruction of an extensive chest wall defect combined with a ventral hernia in a patient after multimodality treatment of breast cancer complicated by sternal and costal osteomyelitis is presented. To recover the chest mechanics, with emphasis on the supporting function, and to repair the hernial defect, customized reinforced “sandwich” TiNi rib endografts and knitted TiNi surgical mesh were used. A five-year follow-up indicated no recurrence of osteomyelitis or ventral hernia, and no failure/migration of the implants or instability of the thorax. Excellent clinical and functional outcomes were achieved pursuant to the Enneking score.

Pedicled myocutaneous flap transplantation for a large chest wall defect with infection in a 72-year-old female

“…Of course, in addition to soft tissue reconstruction, chest wall reconstruction also includes bone reconstruction carried out in recent years, such as biomaterials, artificial materials, and 3-D printing technology. A review of some literature shows that when extensive chest wall defects require restoration of chest mechanics and emphasis on support function, artificial biomaterials such as TiNi-based implants have also achieved good clinical results in the repair and reconstruction of chest wall defects [ 16 , 17 ]. However, there is no uniform standard for the clinical application of bone chest wall reconstruction.…”

Combined Porous-Monolith TiNi Materials Surface-Modified with Electron Beam for New-Generation Rib Endoprostheses

“…In addition, all endoprostheses of the ribs known so far experience the problem of eruption of their porous part, the latter problem manifesting itself over time as such prostheses are exploited for long periods of time [29][30][31]. This problem is known to be exacerbated by two groups of factors: (i) physiological (high deformation loads in the process of respiratory activity and as a result of everyday physical activity of a person), and (ii) technological (difficulties in making a high-quality contact at the boundary of the monolithic and porous parts).…”

Combined Porous-Monolithic TiNi Materials Surface-Modified with Electron Beam for New-Generation Rib Endoprostheses

“…In addition, all endoprostheses of the ribs known so far experience the problem of the eruption of their porous part, the latter problem manifesting itself over time as such prostheses are exploited for long periods of time [29][30][31]. This problem is known to be exacerbated by two groups of factors: (i) physiological (high deformation loads in the process of respiratory activity and as a result of the everyday physical activity of a person), and (ii) technological (difficulties in making a high-quality contact at the boundary of the monolithic and porous parts).…”