The World's First Implantation of a Personalized Microporous Titanium Sternum with Motile Costal Clip Connections: A Case Report.

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Iranian Journal of Medical Sciences Pub Date : 2024-04-01 DOI:10.30476/ijms.2023.97060.2873
Ilya V Kolobaev, Denis Baranovskii, Vladimir Usachev, Grigoriy Afonin, Oleg Aleksandrov, Anna Usacheva, Ilya D Klabukov, Peter Shegay, Sergei Ivanov, Andrey Kaprin
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Abstract

Extensive chest wall defects occur in 28% of all sternal resection cases and are a major challenge in thoracic surgery. These cases are generally considered "critical defects" requiring primary or secondary reconstruction using various types of flaps, mesh repairs, bone autografts, or endoprosthesis. The past decade witnessed rapid advances in the application of personalized endoprostheses in thoracic surgery. Surgeons began to use carbon or titanium grafts for personalized sternum replacement. The main advantages of these implants are superior cosmetic effect, biocompatibility, and low risk of infection. Herein, we present a case of a 55-year-old patient with an indication for extended sternum resection due to metastatic thyroid cancer. The patient underwent extended sternum resection, followed by the implantation of a personalized microporous titanium sternum equipped with graspers for atraumatic rib fixation.

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世界上首次植入带有活动髋关节夹连接的个性化微孔钛胸骨:病例报告。
在所有胸骨切除病例中,有 28% 的病例会出现大面积胸壁缺损,这是胸外科手术的一大挑战。这些病例通常被认为是 "严重缺损",需要使用各种类型的皮瓣、网状修复、骨自体移植或内假体进行初次或二次重建。过去十年间,胸腔手术中个性化内假体的应用突飞猛进。外科医生开始使用碳或钛移植物进行个性化胸骨置换。这些植入物的主要优点是具有良好的外观效果、生物相容性和低感染风险。在此,我们介绍一例因甲状腺癌转移而有延长胸骨切除指征的 55 岁患者。患者接受了胸骨延长切除术,随后植入了个性化的微孔钛合金胸骨,该胸骨配有抓握器,用于无创伤的肋骨固定。
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来源期刊
Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
0.00%
发文量
84
审稿时长
12 weeks
期刊介绍: The Iranian Journal of Medical Sciences (IJMS) is an international quarterly biomedical publication, which is sponsored by Shiraz University of Medical Sciences. The IJMS intends to provide a scientific medium of com­muni­cation for researchers throughout the globe. The journal welcomes original clinical articles as well as clinically oriented basic science re­search experiences on prevalent diseases in the region and analysis of various regional problems.
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