Chest wall repair in Poland syndrome: complex single-stage surgery including Vertical Expandable Prosthetic Titanium
Justus Lieber1, Hans Joachim Kirschner, Jörg Fuchs
1Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Tübingen, Germany. justus.lieber@med.uni-tuebingen.de
Abstract:
Various surgical techniques have been described for repair of chest wall defects in Poland syndrome. We describe the case of a 16-year-old boy who underwent autologous rib transposition after sternal osteotomy. Chest wall stabilization was achieved using a combination of K-wires and Vertical Expandable Prosthetic Titanium Rib (Synthes GmbH, Freiburg, Germany). Reconstruction of the soft tissue defect was accomplished by combined latissimus dorsi muscle flap and Permacol patch (Covidien Deutschland GmbH, Neustadt, Germany). This approach might be considered an effective 1-stage treatment option of this condition in postpubescent boys.
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Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
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Clinical Manifestations:
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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