关键词: Cementoplasty Chest wall Complications Infection Reconstruction Sarcoma

来  源:   DOI:10.1016/j.otsr.2024.103895

Abstract:
BACKGROUND: Chest wall reconstruction in children after large resection of tumors may be performed with rigid or soft materials. Cementoplasty is commonly used with the \"Sandwich\" method i.e. gore-tex meshes surrounding both faces of the cement.
OBJECTIVE: Is antibiotic loaded single-side gore-tex \"Tartine\" methyl-methacrylate cementoplasty an interesting alternative to the double-side \"sandwich\" method for chest wall reconstruction?
METHODS: Consecutive patients who were treated from 2011 to 2023 in our hospital were included.
RESULTS: Among the ten children treated with a median 5.6 years follow-up, there were no surgical complications related to the reconstruction, loss of function, infections, post operative complications (versus 22.7% in meta-analysis encompassing the 50 rigid reconstructions reported worldwide) nor scoliosis (versus 25%). Three patients have an asymmetric chest wall appearance.
CONCLUSIONS: \"Tartine\" cementoplasty is a simple, low-cost technique for pediatric chest wall reconstruction. It is well tolerated and checks key demands for chest wall reconstructions.
METHODS: IV; retrospective case series.
摘要:
背景:儿童肿瘤大切除后的胸壁重建可以用刚性或柔性材料进行。骨水泥成形术通常与“三明治”方法一起使用,即围绕水泥两面的gore-tex网格。
目的:负载抗生素的单侧gore-tex\“Tartine”甲基丙烯酸甲酯骨水泥成形术是否可以替代双侧“三明治”方法进行胸壁重建?
方法:包括2011年至2023年在我们医院接受治疗的连续患者。
结果:在10名接受中位5.6年随访的儿童中,没有与重建相关的手术并发症,功能丧失,感染,术后并发症(包括全球报道的50例刚性重建的荟萃分析为22.7%)和脊柱侧凸(25%).三名患者的胸壁外观不对称。
结论:“Tartine”骨水泥成形术是一种简单的,用于小儿胸壁重建的低成本技术。它具有良好的耐受性,并检查了胸壁重建的关键要求。
方法:IV;回顾性病例系列。
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