The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Dislocation of the artificial sternum after total sternum resection ; a case report
Kazuro SugiYoshikazu KanedaSurnihiko NawataAkira FurutaniKensuke Esato
Author information
JOURNAL FREE ACCESS

1993 Volume 7 Issue 5 Pages 586-591

Details
Abstract

A 59-year-old man with chondrosarcoma of the sternum received replacement of the completely resected sternum with a prosthesis, which consisted of methyl methacrylic mesin and alumina ceramic pins. The implant was slightly larger than the defect of the chest wall and was fixed to the ribs with 5 alumina ceramic pins, 2 on the left and 3 on the right. This implant was stable for 3 years, but it dislocated into the left chest cavity when he lifted heavy furniture, and 2 of the ceramic pins injured the left upper lobe of the lung, causing hemoptysis. Retection of the pins and partial resection of the injured lung were performed. The dislocated implant was well fixed with connective tissue to the surroundings. Th patient returned to his job in good condition. The unsuitable size of the implant and insufficient fixation of the implant to the sternum were thought to be the main causes of this event.

Content from these authors
© The Japanese Association for Chest Surgery
Previous article Next article
feedback
Top