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Sternal Resection and Reconstruction with a Novel Modularized Prosthesis.
Ann Thorac Surg. 2020 Jun 29 [Online ahead of print]AT

Abstract

PURPOSE

Currently available techniques and materials for sternal reconstruction are limited in their clinical applicability. We aimed to design a durable prosthetic kit that can be tailored to each patient's sternal anatomy and function intra-operatively.

DESCRIPTION

A modularized sternal reconstruction system was designed, containing standardized components of different types and sizes, made of titanium alloy. This technology was applied to patients undergoing sternal resection and reconstruction.

EVALUATION

The system was employed in seven patients undergoing sternal resection and reconstruction for local malignancy. Appropriate modules were chosen and integrated at the time of operation. The sternal prostheses were well integrated into the chest wall, without local infection, effusion or instability. One patient died of recurrence four months after surgery. The remaining six patients recovered well without local recurrence or prosthesis failure.

CONCLUSIONS

The most prominent advantage of this system is that there is no need for individualized design and manufacture before surgery. Therefore, this modularized system is potentially widely applicable as an adaptable and effective prosthesis for sternal reconstruction.

Authors+Show Affiliations

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine. 507 Zhengmin Road, Shanghai 200433, China.Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine. 507 Zhengmin Road, Shanghai 200433, China; Department of Thoracic Surgery, Washington University School of Medicine. 660 S. Euclid Ave., St. Louis, MO 63110, USA.Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine. 507 Zhengmin Road, Shanghai 200433, China.Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine. 507 Zhengmin Road, Shanghai 200433, China.Department of Thoracic Surgery, Sichuan Science City Hospital. 64 Mianshan Road, Mianyang, Sichuan 621000, China.Department of Thoracic Surgery, Harbin Medical University Cancer Hospital. 150 Haping Road, Harbin 150081, Heilongjiang, China.Department of Thoracic Surgery, Jiangyin People's Hospital. 163 Shoushan Road, Jiangyin, Jiangsu 214400, China.Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine. 507 Zhengmin Road, Shanghai 200433, China. Electronic address: jgnwp@aliyun.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32615093

Citation

Wang, Haifeng, et al. "Sternal Resection and Reconstruction With a Novel Modularized Prosthesis." The Annals of Thoracic Surgery, 2020.
Wang H, Liu Z, Chen C, et al. Sternal Resection and Reconstruction with a Novel Modularized Prosthesis. Ann Thorac Surg. 2020.
Wang, H., Liu, Z., Chen, C., Liu, M., Xiao, Y., Zhang, J., Yu, G., & Jiang, G. (2020). Sternal Resection and Reconstruction with a Novel Modularized Prosthesis. The Annals of Thoracic Surgery. https://doi.org/10.1016/j.athoracsur.2020.05.048
Wang H, et al. Sternal Resection and Reconstruction With a Novel Modularized Prosthesis. Ann Thorac Surg. 2020 Jun 29; PubMed PMID: 32615093.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sternal Resection and Reconstruction with a Novel Modularized Prosthesis. AU - Wang,Haifeng, AU - Liu,Zhiyi, AU - Chen,Chang, AU - Liu,Ming, AU - Xiao,Yong, AU - Zhang,Jinfeng, AU - Yu,Guiping, AU - Jiang,Gening, Y1 - 2020/06/29/ PY - 2020/03/13/received PY - 2020/04/29/revised PY - 2020/05/01/accepted PY - 2020/7/3/entrez PY - 2020/7/3/pubmed PY - 2020/7/3/medline KW - modularized KW - prosthesis KW - reconstruction KW - sternum JF - The Annals of thoracic surgery JO - Ann. Thorac. Surg. N2 - PURPOSE: Currently available techniques and materials for sternal reconstruction are limited in their clinical applicability. We aimed to design a durable prosthetic kit that can be tailored to each patient's sternal anatomy and function intra-operatively. DESCRIPTION: A modularized sternal reconstruction system was designed, containing standardized components of different types and sizes, made of titanium alloy. This technology was applied to patients undergoing sternal resection and reconstruction. EVALUATION: The system was employed in seven patients undergoing sternal resection and reconstruction for local malignancy. Appropriate modules were chosen and integrated at the time of operation. The sternal prostheses were well integrated into the chest wall, without local infection, effusion or instability. One patient died of recurrence four months after surgery. The remaining six patients recovered well without local recurrence or prosthesis failure. CONCLUSIONS: The most prominent advantage of this system is that there is no need for individualized design and manufacture before surgery. Therefore, this modularized system is potentially widely applicable as an adaptable and effective prosthesis for sternal reconstruction. SN - 1552-6259 UR - https://www.unboundmedicine.com/medline/citation/32615093/Sternal_Resection_and_Reconstruction_with_a_Novel_Modularized_Prosthesis L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-4975(20)31012-2 DB - PRIME DP - Unbound Medicine ER -
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