Abstract
This paper present a satisfactory outcome with Marlex sandwich method using Marlex mesh and polymethyl-methacrylate (a resin) after resection of the sternum for a recurred primary sternal chondrosarcoma in a 72-year-old man. There was a history of undergoing an extirpation of a sternal tumor in April 1986 at the department of orthopedics. The patient experienced a recurrence around July 1990 and was referred to the department. The tumor was 7.5×4.0 cm in size. On operation the sternum was cut just above the adhered portion to the 2nd limb as the upper end and removed including bilateral 2, 3, 4, 5, and 6th costal cartilages. A resin board with numerous small holes was made to be put between doubled Marlex mesh, with which the defect in the chest wall was filled and sutured for reconstruction of the chest wall. Postoperatively no foreign body reaction was observed and postoperative course was uneventful.