Functional Chest Wall Reconstruction With a Biomechanical Three-Dimensionally Printed Implant

Javier Moradiellos, Sergio Amor, Mar Córdoba, Gaetano Rocco, Mercedes Vidal, Andrés Varela

Research output: Contribution to journalArticlepeer-review

Abstract

Chest wall resection and reconstruction for neoplastic diseases has unique oncologic, structural, and functional challenges. In a young and fit patient with a mediastinal mass and extensive anterior chest wall invasion, purely structural solutions were deemed insufficient. We hereby present a novel three-dimensionally printed patient-specific titanium implant of sternum and ribs. This osteointegrable implant was designed with biomechanical capabilities using a unique “Greek wave” folding pattern. Postoperative dynamic computed tomography showed that the implant allowed for controlled flexing during the respiratory cycle. Three-dimensional printing with biocompatible materials could enable a new generation of chest wall implants strongly focused on functional reconstruction.

Original languageEnglish
Pages (from-to)e389-e391
JournalAnnals of Thoracic Surgery
Volume103
Issue number4
DOIs
Publication statusPublished - Apr 1 2017

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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