A paradigm shift for sternal reconstruction using a novel titanium rib bridge system following oncological resections

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Dominique FabrePhilippe G Dartevelle

Abstract

The postoperative course following sternectomy for cancer carries significant morbidity due to paradoxical breathing, pulmonary infections and infectious complications. The purpose of this report is to evaluate the outcomes in patients undergoing sternal reconstruction using an innovative titanium rib bridge system (STRATOS). From 2008 to 2011, 24 patients underwent sternectomy with a titanium rib bridge system reconstruction. Soft coverage tissue was performed concurrently using a prosthetic mesh and pedicled or free flaps. Postoperative data were collected prospectively. The median age was 56 (31-85 years). The indications for sternal resection were primary sarcoma (n = 4), metastasis (n = 15) and radiation-induced sarcoma (n = 5). Twenty-one subtotal and three total sternectomies were performed. Resection margins included the anterior rib (n = 13, mean: 2/patient), clavicles (n = 9), breast (n = 4), superior vena cava (n = 1), pericardium (n = 5), phrenic nerve (n = 4), lung (n = 6) and diaphragm (n = 1). The stability of the chest wall typically required an average of two titanium bars and rib clips per patient. There was no perioperative mortality. Twenty-three patients were extubated within the first 24 h. The mean intens...Continue Reading

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Citations

Mar 1, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jean-Philippe BerthetCharles-Henri Marty-Ané
Oct 22, 2013·Interactive Cardiovascular and Thoracic Surgery·Pierre DemondionElie Fadel
Dec 18, 2013·Cirugía española·Juan Manuel Córcoles PadillaJosé Manuel Rodriguez Paniagua
Mar 6, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Dan Levy FaberPhilippe Dartevelle
Apr 29, 2015·The Annals of Thoracic Surgery·Jean-Philippe BerthetCharles-Henri Marty-Ané
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Sep 29, 2021·Archives of Plastic Surgery·Paula Rocha GravinaMarco Maricevich

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