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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
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.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

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Related Experiment Video

Updated: Jun 24, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Masquelet Technique for Chest Wall Reconstruction: A Case Report.

Benjamin C Taylor1, Thomas Zink2, Sean McGowan2

  • 1Department of Orthopedic Surgery, Grant Medical Center, Columbus, Ohio.

JBJS Case Connector
|April 1, 2020
PubMed
Summary

The Masquelet technique successfully reconstructed a chest wall defect, creating new ribs and resolving scapular dislocation. This induced membrane technique offers a promising solution for complex chest wall reconstruction challenges.

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Area of Science:

  • * Orthopedic surgery
  • * Thoracic surgery
  • * Biomaterials science

Background:

  • * Chest wall reconstruction presents challenges due to limited techniques and the dynamic nature of respiratory motion.
  • * Previous trauma-related chest wall resection can lead to significant bone loss and structural instability.
  • * Conventional methods like layered patches often fail to withstand cyclical chest wall movement.

Observation:

  • * A 33-year-old male patient experienced recurrent intrathoracic scapular dislocation following chest wall resection.
  • * The patient underwent a two-stage induced membrane technique, known as the Masquelet technique.
  • * The procedure successfully generated two new ribs, effectively stabilizing the chest wall.

Findings:

  • * The Masquelet technique facilitated the creation of ne ribs, addressing the bone defect.
  • * Successful reconstruction led to the complete resolution of the patient's recurrent scapular dislocation and associated symptoms.
  • * The induced membrane technique demonstrated efficacy in a challenging chest wall reconstruction scenario.

Implications:

  • * The induced membrane technique shows significant potential for complex chest wall reconstruction, particularly in cases of bone loss.
  • * This method offers a reliable alternative to existing techniques that may not withstand respiratory forces.
  • * Further application of the Masquelet technique could improve outcomes for patients with traumatic chest wall defects.