Application of multi-functional modularized prosthesis in reconstruction for sternal defect
10.3760/cma.j.issn.0529-5815.2018.07.005
- VernacularTitle:多用途模块化胸骨重建组合假体系统行胸骨重建的临床应用效果
- Author:
Haifeng WANG
1
;
Yong XIAO
;
Yuxing JIN
;
Zhe SHI
;
Chang CHEN
;
Gening JIANG
Author Information
1. 200433,同济大学附属上海市肺科医院胸外科
- Keywords:
Sternum;
Bone remodeling;
Prosthesis and implants
- From:
Chinese Journal of Surgery
2018;56(7):507-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and effectiveness of sternal reconstruction using a multi-functional modularized sternal reconstruction system.Methods In June 2016 and August 2017,the modularized sternal prosthesis system was used on two patients for sternal reconstruction in the Department of Thoracic Surgery of Shanghai Pulmonary Hospital,Tongji University.Both patients were female aging 48 and 72 years,respectively,with the primary diagnosis of tumor of the lower sternal body and huge mediastinal tumor.Partial sternal resection and reconstruction was performed through median sternotomy.The multifunctional modularized sternal reconstruction system consisted of manubium,superior sternal body,inferior sternal body,rib and clavicle modules.Each module was designed into 3 to 6 sizes.Appropriate modules were chosen in each case to be assembled as a sternal reconstruction prosthesis.Results Both operation were smooth,with operation time of 240 minutes and 280 minutes,intraoperative blood loss of 100 ml and 400 ml.The patients were followed up for 18 months and 4 months,respectively.In both cases,the sternal reconstruction was satisfactorily healed,without local inffection,fluid accumulation,loose part or dislocation.No local recurrence or distant metastasis was found.Conclusion The multi-functional modularized sternal reconstruction system can be safely and effectively applied for sternal reconstruction in 2 cases.
