Novel Sternal Reconstruction With Custom Three-Dimensional-Printed Titanium PoreStar Prosthesis

Resection of sternal tumors can leave large defects, which exposes major mediastinal structures, and can affect respiratory mechanics. If feasible, resection is potentially a complex reconstructive challenge to restore normal and functional anatomy using conventional techniques. We report the first...

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Bibliographic Details
Published inInnovations (Philadelphia, Pa.) Vol. 13; no. 4; p. 309
Main Authors Tran, Minh D, Varzaly, Jason A, Chan, Justin C Y, Caplash, Yugesh, Worthington, Michael G
Format Journal Article
LanguageEnglish
Published United States 01.07.2018
Subjects
Adult
Breast Neoplasms - pathology
Female
Humans
Printing, Three-Dimensional
Prosthesis Design - methods
Prosthesis Implantation - instrumentation
Reconstructive Surgical Procedures - instrumentation
Sternum - surgery
Thoracic Neoplasms - secondary
Thoracic Neoplasms - surgery
Titanium - therapeutic use
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Summary:Resection of sternal tumors can leave large defects, which exposes major mediastinal structures, and can affect respiratory mechanics. If feasible, resection is potentially a complex reconstructive challenge to restore normal and functional anatomy using conventional techniques. We report the first Australian use of a three-dimensional-printed titanium and PoreStar prosthesis in a 39-year-old woman for reconstruction after major surgical resection of the sternum for metastatic breast cancer. The patient successfully underwent excision of the sternum and costal cartilages as well as implantation of the prosthesis. We conclude that three-dimensional-printed prostheses are technically feasible to deliver excellent cosmetic result.
ISSN:1559-0879
DOI:10.1097/IMI.0000000000000511