Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report

Total and subtotal sternectomy oncological defects can result in large deficits in the chest wall, disrupting the biomechanics of respiration. Reviewing the current literature involving respiratory function and rib motion after sternectomy, autologous rigid reconstruction was determined to provide t...

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Bibliographic Details
Published inArchives of plastic surgery Vol. 48; no. 5; pp. 498 - 502
Main Authors Gravina, Paula Rocha, Chang, Daniel K., Mentz, James A., Dibbs, Rami Paul, Maricevich, Marco
Format Journal Article
LanguageEnglish
Published 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA Thieme Medical Publishers, Inc 01.09.2021
Korean Society of Plastic and Reconstructive Surgeons
대한성형외과학회
Subjects
bone
Breast/Trunk
fibula
plastic
reconstruction
sternal
성형외과학
Reconstruction
Fibula
Plastic
Bone
Sternal
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Summary:Total and subtotal sternectomy oncological defects can result in large deficits in the chest wall, disrupting the biomechanics of respiration. Reviewing the current literature involving respiratory function and rib motion after sternectomy, autologous rigid reconstruction was determined to provide the optimal reconstructive option. We describe a novel technique for sternal defect reconstruction utilizing a double-barrel, longitudinally oriented, vascularized free fibula flap associated with rib titanium plates fixation. Our reconstructive approach was able to deliver a physiological reconstruction, providing rigid support and protection while allowing articulation with adjacent ribs and preservation of chest wall mechanics.
ISSN:2234-6163
2234-6171
DOI:10.5999/aps.2021.00682