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Updated: Aug 5, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Sternal Reconstruction Using 3D-Printed Titanium Custom-Made Prosthesis for Sternal Dehiscence After Cardiac Surgery.

Urška Intihar¹, Jernej Železnik², Tomaž Brajlih³

¹Department for Cardiac Surgery, University Medical Centre Maribor, Maribor, Slovenia. urska.intihar1@gmail.com.

The Heart Surgery Forum

|March 27, 2023

Summary

This summary is machine-generated.

Custom 3D-printed titanium prostheses offer a breakthrough solution for sternal dehiscence following cardiac surgery. This advanced technique provides excellent functional results for chest wall reconstruction when traditional methods fail.

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Published on: February 18, 2020

Area of Science:

Biomedical Engineering
Thoracic Surgery
Materials Science

Background:

Sternal dehiscence is a significant complication after cardiac surgery, increasing patient mortality and morbidity.
Traditional chest wall reconstruction methods, such as titanium plates, have limitations in achieving optimal patient outcomes.
Advancements in 3D printing technology offer new possibilities for personalized medical implants.

Purpose of the Study:

To present a case of complex anterior chest wall reconstruction using a custom-made 3D-printed titanium implant.
To evaluate the efficacy of 3D-printed titanium prostheses in managing sternal dehiscence post-coronary artery bypass surgery.
To highlight the potential of 3D printing in overcoming limitations of conventional sternal reconstruction techniques.

Main Methods:

A patient with sternal dehiscence after coronary artery bypass surgery underwent chest wall reconstruction.
Initial reconstruction attempts using conventional methods proved inadequate.
A custom-made, 3D-printed titanium prosthesis was designed and implanted for definitive reconstruction.

Main Results:

The custom-made 3D-printed titanium implant achieved a near-perfect fit to the patient's chest wall.
Short- and mid-term follow-up demonstrated good functional recovery.
The 3D-printed implant provided satisfactory functional and cosmetic results.

Conclusions:

Custom-made 3D-printed titanium prostheses are a viable and effective solution for sternal reconstruction in cases of post-cardiac surgery complications.
This innovative approach is particularly beneficial when conventional methods yield unsatisfactory results.
3D printing technology represents a significant advancement in personalized reconstructive surgery for sternal defects.