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Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
Paula Rocha Gravina1, Daniel K Chang1, James A Mentz1
1Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Archives of Plastic Surgery
|September 28, 2021
Summary
Chest wall defects after sternectomy can impair breathing. A new surgical technique using a fibula flap and titanium plates offers physiological reconstruction, restoring chest wall mechanics and respiratory function.
Area of Science:
- Thoracic surgery
- Biomedical engineering
- Orthopedic reconstruction
Background:
- Large chest wall defects following sternectomy disrupt respiratory biomechanics.
- Current literature suggests autologous rigid reconstruction is optimal for sternectomy defects.
- Preserving chest wall mechanics is crucial for post-operative respiratory function.
