A technique for pediatric chest wall reconstruction using custom-designed titanium implants: description of technique and report of two cases

Journal of Children's Orthopaedics
Colin J AndersonTravis Heare

Abstract

We present a surgical technique for chest wall reconstruction using custom-designed titanium implants developed for two female patients to provide both chest wall symmetry and adequate stability for staged breast reconstruction. A retrospective review was performed for two adolescent female patients with large chest wall defects who underwent the described technique. The etiology of the chest wall deficiency was secondary to Poland's syndrome in one patient, and secondary to surgical resection of osteosarcoma in the other patient. For each patient, a fine-cut computed tomography scan was obtained to assist with implant design. After fabrication of the prosthesis, reconstruction was performed though a curvilinear thoracotomy approach with attachment of the implant to the adjacent ribs and sternum. Wound closure was obtained with use of synthetic graft material, local soft tissue procedures, and flap procedures as necessary. The two patients were followed post-operatively for 35 and 38 months, respectively. No intra-operative or post-operative complications were identified. Mild scoliosis that had developed in the patient following chest wall resection for osteosarcoma did not demonstrate any further progression following reconst...Continue Reading

References

Dec 1, 1977·Journal of Pediatric Surgery·A P KumarC B Pratt
Jul 1, 1988·Journal of Pediatric Surgery·J L GrosfeldR Weetman
Feb 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·C DeschampsP C Pairolero
Apr 6, 2000·The Annals of Thoracic Surgery·D LardinoisH B Ris
May 8, 2001·World Journal of Surgery·M Incarbone, U Pastorino
Jun 25, 2002·The Annals of Thoracic Surgery·Kamal A MansourGlyn E Jones
Mar 20, 2003·The Annals of Thoracic Surgery·Alexander A Fokin, Francis Robicsek
Apr 6, 2004·Journal of Pediatric Surgery·David W TuggleNikola Puffinbarger
May 18, 2004·British Journal of Plastic Surgery·A LoskenK A Mansour
Dec 6, 2005·Pediatric Surgery International·Tutku SoyerNebil Büyükpamukçu
Dec 22, 2005·The Annals of Thoracic Surgery·Michael J WeyantValerie W Rusch
Jan 18, 2006·Journal of Pediatric Surgery·Melvin D Smith, Robert M Campbell
Jan 22, 2008·Journal of Pediatric Surgery·David LaskoJuan E Sola
Jul 11, 2009·Plastic and Reconstructive Surgery·John A van AalstA Michael Sadove
Dec 17, 2009·Plastic and Reconstructive Surgery·David T Netscher, Michael A Baumholtz
Feb 27, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alessandro GonfiottiAlberto Janni
Jan 18, 2011·Pediatric Surgery International·Laura JacksonDakshesh Parikh
May 3, 2011·The Annals of Thoracic Surgery·Jean Philippe BerthetCharles-Henri Marty-Ane
May 28, 2011·Journal of Pediatric Surgery·Jacob T StephensonJohn H T Waldhausen
Oct 1, 2011·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·C DingemannR Nustede
Jan 1, 2011·Seminars in Thoracic and Cardiovascular Surgery·Gaetano Rocco
May 19, 2012·Journal of Pediatric Surgery·Carol OliveiraPeter C W Kim
Jul 21, 2012·Journal of Pediatric Surgery·Shawn R LinSanjeev Dutta
Sep 15, 2012·Journal of Pediatric Surgery·E Marty KnottRonald J Sharp
Jan 17, 2014·The Journal of Bone and Joint Surgery. American Volume·Aurélien ScalabreFranck Chotel
Sep 23, 2014·Plastic and Reconstructive Surgery. Global Open·Ivan E RodriguezFrederic W-B Deleyiannis

❮ Previous
Next ❯

Citations

Mar 12, 2020·Annals of the Royal College of Surgeons of England·N MaistryK Lakhoo
May 8, 2018·Biomechanics and Modeling in Mechanobiology·Jianfeng KangDichen Li
Dec 29, 2020·The Annals of Thoracic Surgery·Gavin KaneJonathan McGuinness

❮ Previous
Next ❯

Software Mentioned

MedXpert

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Annals of Thoracic Surgery
H C UrschelM A Razzuk
Kyobu geka. The Japanese journal of thoracic surgery
N YamaokaK Hashizume
Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery
Qing-guo ZhangYong-cheng Leng
The Annals of Thoracic Surgery
Thais A L Pedersen, Hans K Pilegaard
Plastic and Reconstructive Surgery. Global Open
Ivan E RodriguezFrederic W-B Deleyiannis
© 2022 Meta ULC. All rights reserved