Autologous ilium graft combination with titanium plate for sternal reconstruction: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YANG Bo ,  LI Bin ,  JIANG Peng , ZHANG Shaobo , REN Meiyu , SU Zhipeng

Department of Thoracic Surgery, The Second Hospital of Lanzhou University, Second Clinical Medical College of Lanzhou University, Lanzhou, 730030, P. R. China;

Corresponding author：

LI Bin, Email: dr.leebin@outlook.com; JIANG Peng, Email: jpld@163.com

Keywords：

Sternal reconstruction; autologous ilium graft; titanium plate; case report

DOI：

10.7507/1007-4848.202203063

Video：

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The sternum is the pivotal component of the thoracic cavity. It is connected with the clavicle and ribs on the upper part and both sides respectively, and plays an important role in protecting the stability of the chest wall. Sternal resection usually results in a large segmental chest wall defect that causes the chest wall to float and requires sternal reconstruction. This paper reports a 62 years male patient with thymic squamous cell carcinoma with sternal metastasis, who underwent thymotomy, sternal tumor resection and autologous lilum graft combined with sternal reconstruction by titanium plate after relevant examination was completed and surgical contraindications were eliminated. The patient was followed up for 6 months, the respiratory and motor functions were normal and the thoracic appearance was good.

Citation： YANG Bo, LI Bin, JIANG Peng, ZHANG Shaobo, REN Meiyu, SU Zhipeng. Autologous ilium graft combination with titanium plate for sternal reconstruction: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(2): 329-332. doi: 10.7507/1007-4848.202203063 Copy

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2.	Wang L, Yan X, Zhao J, et al. Expert consensus on resection of chest wall tumors and chest wall reconstruction. Transl Lung Cancer Res, 2021, 10(11): 4057-4083.
3.	Sanna S, Brandolini J, Pardolesi A, et al. Materials and techniques in chest wall reconstruction: A review. J Vis Surg, 2017, 3: 95.
4.	王磊, 李靖, 钟代星. 胸壁肿瘤切除及胸壁重建手术中国专家共识(2018版). 中国胸心血管外科临床杂志, 2019, 26(1): 1-7.
5.	唐善卫, 叶敬霆, 束余声. 胸壁缺损的修复重建现状及进展. 中国胸心血管外科临床杂志, 2019, 26(2): 180-185.
6.	Suzuki K, Park BJ, Adusumilli PS, et al. Chest wall reconstruction using a methyl methacrylate neo-rib and mesh. Ann Thorac Surg, 2015, 100(2): 744-747.
7.	D'Amico G, Manfredi R, Nita G, et al. Reconstruction of the thoracic wall with biologic mesh after resection for chest wall tumors: A presentation of a case series and original technique. Surg Innov, 2018, 25(1): 28-36.
8.	Wiegmann B, Zardo P, Dickgreber N, et al. Biological materials in chest wall reconstruction: Initial experience with the peri-guard repair patch. Eur J Cardiothorac Surg, 2010, 37(3): 602-605.
9.	Seder CW, Rocco G. Chest wall reconstruction after extended resection. J Thorac Dis, 2016, 8(Suppl 11): S863-S871.
10.	Ng CS. Recent and future developments in chest wall reconstruction. Semin Thorac Cardiovasc Surg, 2015, 27(2): 234-239.
11.	De Palma A, Sollitto F, Loizzi D, et al. Chest wall stabilization and reconstruction: Short and long-term results 5 years after the introduction of a new titanium plates system. J Thorac Dis, 2016, 8(3): 490-498.
12.	Kang J, Wang L, Yang C, et al. Custom design and biomechanical analysis of 3D-printed PEEK rib prostheses. Biomech Model Mechanobiol, 2018, 17(4): 1083-1092.
13.	钟代星, 王磊, 李小飞, 等. 胸壁骨性重建的研究进展. 中国肺癌杂志, 2018, 21(4): 273-276.
14.	Moradiellos J, Amor S, Córdoba M, et al. Functional chest wall reconstruction with a biomechanical three-dimensionally printed implant. Ann Thorac Surg, 2017, 103(4): e389-e391.
15.	Wiegmann B, Korossis S, Burgwitz K, et al. In vitro comparison of biological and synthetic materials for skeletal chest wall reconstruction. Ann Thorac Surg, 2015, 99(3): 991-998.
16.	Banwart JC, Asher MA, Hassanein RS. Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. Spine (Phila Pa 1976), 1995, 20(9): 1055-1060.
17.	Drinnon KD, Sherali S, Cox CT, et al. Sternal tumor resection and reconstruction using iliac crest autograft. Plast Reconstr Surg Glob Open, 2020, 8(8): e3002.
18.	Ropars M, Zadem A, Morandi X, et al. How can we optimize anterior iliac crest bone harvesting? An anatomical and radiological study. Eur Spine J, 2014, 23(5): 1150-1155.
19.	Xu S, Dou Y, Zhao G, et al. Autologous ilium graft combination with Y-shaped titanium plate fixation for chest wall reconstruction after resection of primary sternal tumors—A clinical study from three institutions. Transl Cancer Res, 2020, 9(2): 930-936.
20.	朱建飞, 田伟, 戴云, 等. 自体髂骨植骨联合Y型钛板内固定在胸骨柄肿瘤切除术后胸骨重建中的应用效果. 临床医学研究与实践, 2020, 5(25): 93-95.

1. Singh A, Chandrashekhara SH, Triveni GS, et al. Imaging in sternal tumours: A pictorial review. Pol J Radiol, 2017, 82: 448-456.
2. Wang L, Yan X, Zhao J, et al. Expert consensus on resection of chest wall tumors and chest wall reconstruction. Transl Lung Cancer Res, 2021, 10(11): 4057-4083.
3. Sanna S, Brandolini J, Pardolesi A, et al. Materials and techniques in chest wall reconstruction: A review. J Vis Surg, 2017, 3: 95.
4. 王磊, 李靖, 钟代星. 胸壁肿瘤切除及胸壁重建手术中国专家共识(2018版). 中国胸心血管外科临床杂志, 2019, 26(1): 1-7.
5. 唐善卫, 叶敬霆, 束余声. 胸壁缺损的修复重建现状及进展. 中国胸心血管外科临床杂志, 2019, 26(2): 180-185.
6. Suzuki K, Park BJ, Adusumilli PS, et al. Chest wall reconstruction using a methyl methacrylate neo-rib and mesh. Ann Thorac Surg, 2015, 100(2): 744-747.
7. D'Amico G, Manfredi R, Nita G, et al. Reconstruction of the thoracic wall with biologic mesh after resection for chest wall tumors: A presentation of a case series and original technique. Surg Innov, 2018, 25(1): 28-36.
8. Wiegmann B, Zardo P, Dickgreber N, et al. Biological materials in chest wall reconstruction: Initial experience with the peri-guard repair patch. Eur J Cardiothorac Surg, 2010, 37(3): 602-605.
9. Seder CW, Rocco G. Chest wall reconstruction after extended resection. J Thorac Dis, 2016, 8(Suppl 11): S863-S871.
10. Ng CS. Recent and future developments in chest wall reconstruction. Semin Thorac Cardiovasc Surg, 2015, 27(2): 234-239.
11. De Palma A, Sollitto F, Loizzi D, et al. Chest wall stabilization and reconstruction: Short and long-term results 5 years after the introduction of a new titanium plates system. J Thorac Dis, 2016, 8(3): 490-498.
12. Kang J, Wang L, Yang C, et al. Custom design and biomechanical analysis of 3D-printed PEEK rib prostheses. Biomech Model Mechanobiol, 2018, 17(4): 1083-1092.
13. 钟代星, 王磊, 李小飞, 等. 胸壁骨性重建的研究进展. 中国肺癌杂志, 2018, 21(4): 273-276.
14. Moradiellos J, Amor S, Córdoba M, et al. Functional chest wall reconstruction with a biomechanical three-dimensionally printed implant. Ann Thorac Surg, 2017, 103(4): e389-e391.
15. Wiegmann B, Korossis S, Burgwitz K, et al. In vitro comparison of biological and synthetic materials for skeletal chest wall reconstruction. Ann Thorac Surg, 2015, 99(3): 991-998.
16. Banwart JC, Asher MA, Hassanein RS. Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. Spine (Phila Pa 1976), 1995, 20(9): 1055-1060.
17. Drinnon KD, Sherali S, Cox CT, et al. Sternal tumor resection and reconstruction using iliac crest autograft. Plast Reconstr Surg Glob Open, 2020, 8(8): e3002.
18. Ropars M, Zadem A, Morandi X, et al. How can we optimize anterior iliac crest bone harvesting? An anatomical and radiological study. Eur Spine J, 2014, 23(5): 1150-1155.
19. Xu S, Dou Y, Zhao G, et al. Autologous ilium graft combination with Y-shaped titanium plate fixation for chest wall reconstruction after resection of primary sternal tumors—A clinical study from three institutions. Transl Cancer Res, 2020, 9(2): 930-936.
20. 朱建飞, 田伟, 戴云, 等. 自体髂骨植骨联合Y型钛板内固定在胸骨柄肿瘤切除术后胸骨重建中的应用效果. 临床医学研究与实践, 2020, 5(25): 93-95.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Autologous ilium graft combination with titanium plate for sternal reconstruction: A case report

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