Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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ORIGINAL ARTICLE
Year : 2018  |  Volume : 13  |  Issue : 4  |  Page : 226-229

Porous alumina ceramic sternum: A reliable option for sternal replacement


1 Department of Cardiothoracic Surgery, Limoges Teaching Hospital, Limoges, France
2 Department of R and D, I.Ceram, Limoges, France
3 Department of Cardiothoracic Surgery, Reims Teaching Hospital, Reims, France

Correspondence Address:
Dr. François Bertin
Service de Chirurgie Thoracique, CHU Dupuytren, 87000 LImoges
France
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DOI: 10.4103/atm.ATM_80_18

PMID: 30416594

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CONTEXT: To date, there is no gold standard technique for sternum replacement. Current techniques rely on metallic prosthesis, meshes and bars, or bone grafts. However, they have several pitfalls. AIMS: The aim of this article is to report the results of sternal replacement with a porous alumina ceramic sternum. SETTINGS AND DESIGN: Surgeries were performed in two teaching hospitals in France. METHODS: We designed a porous alumina ceramic prosthesis which possesses interesting characteristics for this surgery such as great biocompatibility, a certain level of bacterial resistance, radiolucency, and compatibility with radiotherapy. The implant is stitched to the ribs with suture thread and does not require osteosynthesis material. RESULTS: Six patients with a mean age of 60.6 years received this prosthesis. Indication was tumor in five cases and mediastinitis in one case. The mean follow-up is 20 months (3–37 months). No major complication occurred and healing was fine for all patients. Patients did not complain of breathing discomfort or pain related to the prosthesis. CONCLUSIONS: This new technique is promising even if there are only six patients in this study.


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