Topolnitskiy Evgeniy, Chekalkin Timofey, Marchenko Ekaterina, Yasenchuk Yuri
Laboratory of Medical Materials, Tomsk State University, Tomsk, Russia.
Department of Surgery, Siberian State Medical University, Tomsk, Russia.
Respir Med Case Rep. 2021 Nov 23;34:101558. doi: 10.1016/j.rmcr.2021.101558. eCollection 2021.
A case of the successful reconstruction of an extensive chest wall defect combined with a ventral hernia in a patient after multimodality treatment of breast cancer complicated by sternal and costal osteomyelitis is presented. To recover the chest mechanics, with emphasis on the supporting function, and to repair the hernial defect, customized reinforced "sandwich" TiNi rib endografts and knitted TiNi surgical mesh were used. A five-year follow-up indicated no recurrence of osteomyelitis or ventral hernia, and no failure/migration of the implants or instability of the thorax. Excellent clinical and functional outcomes were achieved pursuant to the Enneking score.
本文介绍了一例乳腺癌多模态治疗后并发胸骨和肋骨骨髓炎的患者，成功重建广泛胸壁缺损并伴有腹疝的病例。为恢复胸部力学功能（重点是支撑功能）并修复疝缺损，使用了定制的强化“三明治”式钛镍肋骨内植入物和编织钛镍外科网片。五年随访显示骨髓炎或腹疝无复发，植入物无失败/移位，胸廓无不稳定。根据Enneking评分，取得了优异的临床和功能结果。
