Functional Chest Wall Reconstruction With a Biomechanical Three-Dimensionally Printed Implant

Chest wall resection and reconstruction for neoplastic diseases has unique oncologic, structural, and functional challenges. In a young and fit patient with a mediastinal mass and extensive anterior chest wall invasion, purely structural solutions were deemed insufficient. We hereby present a novel...

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Veröffentlicht in:The Annals of thoracic surgery 2017-04, Vol.103 (4), p.e389-e391
Hauptverfasser: Moradiellos, Javier, MD, Amor, Sergio, MD, Córdoba, Mar, MD, Rocco, Gaetano, MD, Vidal, Mercedes, MD, Varela, Andrés, MD, PhD
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container_end_page e391
container_issue 4
container_start_page e389
container_title The Annals of thoracic surgery
container_volume 103
creator Moradiellos, Javier, MD
Amor, Sergio, MD
Córdoba, Mar, MD
Rocco, Gaetano, MD
Vidal, Mercedes, MD
Varela, Andrés, MD, PhD
description Chest wall resection and reconstruction for neoplastic diseases has unique oncologic, structural, and functional challenges. In a young and fit patient with a mediastinal mass and extensive anterior chest wall invasion, purely structural solutions were deemed insufficient. We hereby present a novel three-dimensionally printed patient-specific titanium implant of sternum and ribs. This osteointegrable implant was designed with biomechanical capabilities using a unique “Greek wave” folding pattern. Postoperative dynamic computed tomography showed that the implant allowed for controlled flexing during the respiratory cycle. Three-dimensional printing with biocompatible materials could enable a new generation of chest wall implants strongly focused on functional reconstruction.
doi_str_mv 10.1016/j.athoracsur.2016.11.048
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subjects Adult
Biopsy, Large-Core Needle
Cardiothoracic Surgery
Humans
Printing, Three-Dimensional
Prostheses and Implants
Prosthesis Design
Reconstructive Surgical Procedures - methods
Surgery
Thoracic Surgical Procedures - methods
Thoracic Wall - surgery
Tomography, X-Ray Computed
title Functional Chest Wall Reconstruction With a Biomechanical Three-Dimensionally Printed Implant
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