title: Use of a titanium alloy (Chest Way) in the surgical stabilization of flail chest.
abstract: To avoid the complications of internal pneumatic stabilization for flail chest, we performed stabilization of the chest wall with a metal bar using the Nuss procedure. Here, we used a highly elastic lightweight biocompatible titanium alloy Chest Way (Solve Corporation, Kanagawa, Japan), enabling magnetic resonance imaging. The patient was a 37-year-old man who sustained injuries in a car crash. Gradually increasing subcutaneous emphysema was present. Bilateral pleural drainage and tracheal intubation were conducted on the scene, and a peripheral venous line was established. The patient was then transferred to our hospital by helicopter. A titanium alloy Chest Way was inserted to manage his flail chest accompanied by multiple rib fractures on the left side. Two days later, artificial respiration was no longer required.
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan. k167999@is.icc.u-tokai.ac.jp.
authors.forename: Tomoki
authors.initials: T
authors.lastname: Nakagawa
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Matsuzaki
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Aruga
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Imamura
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Rurika
authors.initials: R
authors.lastname: Hamanaka
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Ikoma
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Masuda
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa, 259-1193, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Iwazaki
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000497:Alloys / Q000627:therapeutic use*; D001672:Biocompatible Materials / Q000627:therapeutic use; D005409:Flail Chest / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007564:Japan; D008279:Magnetic Resonance Imaging; D008297:Male; D011474:Prosthesis Design; D012121:Respiration, Artificial / Q000379:methods; D013525:Surgical Instruments; D035441:Thoracic Wall / Q000473:pathology; D014025:Titanium / Q000627:therapeutic use*
chemical_list: D000497:Alloys; D001672:Biocompatible Materials; D014025:Titanium
keywords: Flail chest; Nuss procedure; Titanium alloy