• 作者：Juan Manuel C贸rcoles Padilla ; Sergio Bolufer Nadal ; Krzysztof Kurowski ; Carlos G谩lvez Mu帽oz ; Jos茅 Manuel Rodriguez Paniagua
• 关键词：Reconstrucció ; n pared torá ; cica ; Titanio ; STRATOS
• 刊名：Cirugía Espa?ola
• 出版年：February, 2014
• 年：2014
• 卷：92
• 期：2
• 页码：89-94
• 全文大小：1632 K

Introduction

Chest wall deformities/defects and chest wall resections, as well as complex rib fractures require reconstruction with various prosthetic materials to ensure the basic functions of the chest wall. Titanium provides many features that make it an ideal material for this surgery.

The aim is to present our initial results with this material in several diseases.

Material and methods

From 2008 to 2012, 14 patients were operated on and titanium was used for reconstruction of the chest wall. A total of 7 patients had chest wall tumors, 2 with sternal resection, 4 patients with chest wall deformities/defects and 3 patients with severe rib injury due to traffic accident.

Results

The reconstruction was successful in all cases, with early extubation without detecting problems in the functionality of the chest wall at a respiratory level. Patients with chest wall tumors including sternal resections were extubated in the operating room as well as the chest wall deformities. Chest trauma cases were extubated within 24 h from internal rib fixation. There were no complications related to the material used and the method of implementation.

Conclusions

Titanium is an ideal material for reconstruction of the chest wall in several clinical situations allowing for great versatility and adaptability in different chest wall reconstructions.