Intermediate outcome and dynamic computerised tomography after chest wall reconstruction with the STRATOS titanium rib bridge system: video demonstration of preserved bucket-handle rib motion.
We report the intermediate clinical outcome following resection of a chest wall sarcoma and layered reconstruction with a deep expanded polytetrafluroethylene patch, four STRATOS titanium rib bridges and an overlying muscle flap. After 21 months there is no evidence of recurrence. The reconstruction remains intact despite trauma sufficient to fracture the ipsilateral scapula and elbow. Exercise capacity, pain control and quality of life are good. We developed a functional computed tomography (CT) algorithm which allowed dynamic imaging. Video images for the first time demonstrate preserved physiological type bucket-handle movement of the ribs in continuity with the rib bridges.
Coonar
Aman S
AS
Papworth Hospital, Papworth Everard, Cambridge CB23 3RE, UK. aman.coonar@papworth.nhs.uk
Wihlm
Jean-Marie
JM
Wells
Francis C
FC
Qureshi
Nagmi
N
D000465:Algorithms; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D019637:Orthopedic Procedures / Q000295:instrumentation*; D011857:Radiographic Image Interpretation, Computer-Assisted; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D020127:Recovery of Function; D012272:Ribs / Q000000981:diagnostic imaging / Q000601:surgery*; D012509:Sarcoma / Q000000981:diagnostic imaging / Q000601:surgery*; D013524:Surgical Flaps; D013997:Time Factors; D014025:Titanium; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014741:Video Recording
D014025:Titanium