title: Oklahoma prosthesis: resection of tumor of clavicle and chest wall reconstructed with a custom composite graft.
abstract: 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.
authors.affiliation: Division of Cardiothoracic Surgery, University of California, San Francisco, California 94143-1674, USA.
authors.forename: Shant M
authors.initials: SM
authors.lastname: Vartanian
authors.forename: Shanthi
authors.initials: S
authors.lastname: Colaco
authors.forename: Lisa E
authors.initials: LE
authors.lastname: Orloff
authors.forename: Pierre R
authors.initials: PR
authors.lastname: Theodore
mesh_terms: 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*
chemical_list: D001672:Biocompatible Materials; D020366:Methylmethacrylate