Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2013  |  Volume : 8  |  Issue : 1  |  Page : 60-63

A novel technique for the reconstruction of resected sternoclavicular joints: A case report with a review of the literature


1 Department of Surgery College of Medicine, King Saud University, Riyadh, Saudi Arabia
2 Thoracic Surgery Division, Department of Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
3 Department of ENT, King Fahad Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Waseem M Hajjar
Assistant Professor and Consultant Thoracic Surgeon, Department of Surgery, College of Medicine, King Saud University, King Khalid University Hospital, Riyadh
Saudi Arabia
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DOI: 10.4103/1817-1737.105722

PMID: 23440949

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Sternal metastasis in thyroid cancer is an uncommon occurrence with only a handful of cases of chest wall resections being done. Sternal reconstruction for both primary and secondary tumors has been performed using various techniques and materials such as the mesh, methyl acrylate resin, and steel plates; however, this is a case of papillary thyroid cancer involving the sternum in a 50-year-old woman who had resection of the sternum with reconstruction using titanium bars and clips (STRATOS system) fixed to the clavicles with an underlying Proceed mesh. STRATOS system showed good recovery postoperatively. The functional results were excellent with the patient being able to perform all daily activities unassisted after 1 month and almost complete range of motion with acceptable limitations in power of the shoulder muscles after 2 months. We have reviewed all the English language publications of the subject by doing Medline search for the last 25 years and we present here the surgical management of this pathology with our novel approach by using the titanium steel bars to stabilize both medial aspects of the resected clavicles as a promising therapy for manubrial reconstruction and clavicular fixation.


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