Gerrah Rabin
Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
Ann Thorac Surg Short Rep. 2022 Sep 24;1(1):111-114. doi: 10.1016/j.atssr.2022.09.011. eCollection 2023 Mar.
Large chest wall defects often require reconstruction to improve the functionality of the chest wall and to achieve aesthetic results. An optimized technique for chest wall reconstruction with superior mechanical properties is presented here.
In this technique, the chest wall is reconstructed by neoribs. Synthetic neoribs are constructed by integration of twisted steel wires with bone cement, customized for the patient and without the exposure of cement to the medullary cavity of the ribs.
The proposed technique is easy to reproduce, is low cost, and achieves excellent aesthetic results. Compared with other techniques, this technique achieves superior tensile and compressive strengths.
Reconstruction of the chest wall with neoribs reinforced with twisted steel wire seems to be the optimal technique for chest wall reconstruction, with improved mechanical properties.
大型胸壁缺损通常需要进行重建，以改善胸壁功能并达到美学效果。本文介绍一种具有卓越力学性能的优化胸壁重建技术。
在该技术中，胸壁通过人造肋骨进行重建。合成人造肋骨由绞合钢丝与骨水泥结合制成，为患者定制，且骨水泥不暴露于肋骨髓腔。
所提出的技术易于重复操作，成本低，并能取得出色的美学效果。与其他技术相比，该技术具有更优越的拉伸和抗压强度。
用绞合钢丝增强的人造肋骨重建胸壁似乎是胸壁重建的最佳技术，其力学性能得到了改善。
