Oklahoma prosthesis: resection of tumor of clavicle and chest wall reconstructed with a custom composite graft.
Tumors involving the clavicle by primary or metastatic growth may require clavicular resection often with rib resection. The resulting cosmetic and functional impairment of clavicular resection may be significant with a sloped appearing shoulder girdle and chronically impaired movement of the upper extremity. We report a 48-year-old woman presenting with a bulky metastatic renal cell mass of her left clavicle extending to the chest wall. We report en-bloc clavilculectomy and chest wall resection with a novel method of reconstruction using a single methyl methacrylate and prolene composite prosthesis in a configuration resembling the state of Oklahoma.
Vartanian
Shant M
SM
Division of Cardiothoracic Surgery, University of California, San Francisco, California 94143-1674, USA.
Colaco
Shanthi
S
Orloff
Lisa E
LE
Theodore
Pierre R
PR
D001672:Biocompatible Materials; D001859:Bone Neoplasms / Q000098:blood supply / Q000556:secondary* / Q000601:surgery / Q000628:therapy; D002292:Carcinoma, Renal Cell / Q000098:blood supply / Q000556:secondary* / Q000601:surgery / Q000628:therapy; D002968:Clavicle / Q000601:surgery*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D004867:Equipment Design; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D020366:Methylmethacrylate; D008875:Middle Aged; D009392:Nephrectomy; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures; D013348:Subclavian Artery; D013524:Surgical Flaps; D013526:Surgical Mesh; D013895:Thoracic Arteries; D013899:Thoracic Neoplasms / Q000098:blood supply / Q000556:secondary* / Q000601:surgery / Q000628:therapy; D035441:Thoracic Wall / Q000601:surgery*
D001672:Biocompatible Materials; D020366:Methylmethacrylate