Three-Dimensional Reconstruction of the Sternum: a Novel Approach for Improved Surgical Oncology Outcomes

Incarbone M, Nava M, Lequaglie C, Ravasi G, Pastorino U (1997) Sternal resection for primary or secondary tumors. J Thorac Cardiovasc Surg 114(1):93-9. doi: 10.1016/S0022-5223(97)70121-1. PMID: 9240298 https://doi.org/10.1016/S0022-5223(97)70121-1 https://doi.org/10.1016/S0022-5223(97)70121-1

Article  CAS  PubMed  Google Scholar 

Sharma J, Deo SVS, Kumar S, Bhoriwal S, Gupta N, Saikia J, Bhatnagar S, Mishra S, Bharti S, Thulkar S, Bakhshi S, Sharma DN (2024) Malignant Chest Wall Tumors: Complex Defects and Their Management-A Review of 181 Cases. Ann Surg Oncol 31(6):3675-3683. doi: 10.1245/s10434-023-14765-w. PMID: 38153642. https://doi.org/10.1245/s10434-023-14765-w. PMID: 38153642

Article  PubMed  Google Scholar 

Sternal resection and reconstruction for primary malignant tumors, Missana MC, Couturaud B, Fadal E, Fabre D, Mussot S, Pouillart P, Dartevelle PG (2004) Chapelier AR. Ann Thorac Surg 77:1001–1007 PMID: 14992915. https://doi.org/10.1016/j.athoracsur.2003.08.053

Article  Google Scholar 

Deo SVS, Garg PK, Jakhetiya A, Kumar R, Kumar S, Vishnoi JR, Muduly DK, Kar M (2025) Development of a Competency-Based Curriculum for Surgical Oncology Training in India. Indian J Surg Oncol (2025). https://doi.org/10.1007/s13193-025-02433-2

Arjunan R, Veerendrakumar KV, Sailaja S, Harish Kumar H. Partial Sternal Resections in Primary and Metastatic Tumors with Nonrigid Reconstruction of Chest Wall (2017) Indian J Surg Oncol 8(3):284-290. 10.1007/s13193-017-0632-7 . PMID: 36118389 https://doi.org/10.1007/s13193-017-0632-7. PMID: 36118389

Article  PubMed  PubMed Central  Google Scholar 

Losken A, Thourani VH, Carlson GW, Jones GE, Culbertson JH, Miller JI, Mansour KA (2004) A reconstructive algorithm for plastic surgery following extensive chest wall resection. Br J Plast Surg 57(4):295–302. https://doi.org/10.1016/j.bjps.2004.02.004. PMID: 15145731

Article  CAS  PubMed  Google Scholar 

Koole D, Bemelman M, Schijen J, de Fijter M, van der Niet J (2018) Reconstruction of Chest Wall Defects Using a Technique Involving Mesh, Titanium Plates, and a Pedunculated Muscle Flap. J Chest Surg 51:308–311. https://doi.org/10.5090/kjtcs.2018.51.5.308. PMID: 30402389

Article  Google Scholar 

Galbis Caravajal JM, Yeste Sánchez L, Fuster Diana CA, Guijarro Jorge R, Fernández Ortiz P, Deaville PJ (2009) Sternal resection and reconstruction after malignant tumours. Clin Transl Oncol 11(2):91 – 5. https://doi.org/10.1007/s12094-009-0320-3. PMID: 19211374

Article  CAS  PubMed  Google Scholar 

Kużdżał J, Warmus J, Grochowski Z, Gądek A (2014) Reconstruction of the sternal manubrium. J Thorac Cardiovasc Surg 147(6):1986-8. https://doi.org/10.1016/j.jtcvs.2014.01.040. PMID: 24642560

Article  PubMed  Google Scholar 

Martinez-Ferro M, Bellia-Munzon G, Toselli L, Sanjurjo D (2024) The role of 3D printing in chest wall reconstruction. J Thorac Dis 16(6):4053–4063. https://doi.org/10.21037/jtd-23-881. PMID: 38983181

Article  PubMed  PubMed Central  Google Scholar 

Wang W, Liang Z, Yang S, Feng Q, Nie X, Su G, Yuan W, Han Y (2020) Three-dimensional (3D)-printed titanium sternum replacement: A case report. Thorac Cancer. 11(11):3375–3378. https://doi.org/10.1111/1759-7714.13655. PMID: 33015990

Article  PubMed  PubMed Central  Google Scholar 

Pontiki AA, Natarajan S, Parker FNH, Mukhammadaminov A, Dibblin C, Housden R, Benedetti G, Rhode K, Bille A (2022) Chest Wall Reconstruction Using 3-Dimensional Printing: Functional and Mechanical Results. Ann Thorac Surg 114(3):979–988. . PMID: 34555374 https://doi.org/10.1016/j.athoracsur.2021.07.103

Article  PubMed  Google Scholar 

Aghajanzadeh M, Alavi A, Aghajanzadeh G, Ebrahimi H, Jahromi SK, Massahnia S (2015) Reconstruction of chest wall using a two-layer prolene mesh and bone cement sandwich. Indian J Surg 77(1):39–43. https://doi.org/10.1007/s12262-013-0811-x. PMID: 25829710

Article  PubMed  Google Scholar 

Bangeria S, Asaf BB, Puri HV, Kumar A (2024) Sternal Reconstruction with a Custom-Made 3D-Printed Titanium Neo-sternum Prosthesis After Resection for Primary Malignant Sternal Tumour. Indian J Surg Oncol 15:594–596. https://doi.org/10.1007/s13193-024-01953-7

Article  PubMed  PubMed Central  Google Scholar 

Aranda JL, Gomez MT, Fuentes M, Rivas C, Forcada C, Jimenez MF (2024) Sternal resection and reconstruction: a review. J Thorac Dis 16(1):708–721. https://doi.org/10.21037/jtd-23-450. PMID: 38410553

Article  PubMed  PubMed Central  Google Scholar 

Cornejo J, Cornejo-Aguilar JA, Vargas M, Helguero CG, Milanezi de Andrade R, Torres-Montoya S, Asensio-Salazar J, Rivero Calle A, Martínez Santos J, Damon A, Quiñones-Hinojosa A, Quintero-Consuegra MD, Umaña JP, Gallo-Bernal S, Briceño M, Tripodi P, Sebastian R, Perales-Villarroel P, De la Cruz-Ku G, Mckenzie T, Arruarana VS, Ji J, Zuluaga L, Haehn DA, Paoli A, Villa JC, Martinez R, Gonzalez C, Grossmann RJ, Escalona G, Cinelli I, Russomano T (2022) Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations. Biomed Res Int. 24;2022:6797745. https://doi.org/10.1155/2022/6797745. PMID: 35372574

Martelli N, Serrano C, van den Brink H, Pineau J, Prognon P, Borget I, El Batti S (2016) Advantages and disadvantages of 3-dimensional printing in surgery: A systematic review. Surgery 159(6):1485–1500. doi: 10.1016/j.surg.2015.12.017. PMID: 26832986

Effiom VB, Biswas K, Chandran BVS, Mathari SE, Femi-Lawal V, Vinck E, Hirji SA (2025) Potential Uses and Challenges of Three-dimensional Printing in Cardiothoracic Surgery in Africa - a Narrative Review. Braz J Cardiovasc Surg 40(6):e20240301. https://doi.org/10.21470/1678-9741-2024-0301. PMID: 40961277

Wu Y, Liu J, Kang L, Tian J, Zhang X, Hu J, Huang Y, Liu F, Wang H, Wu Z (2023) An overview of 3D printed metal implants in orthopedic applications: Present and future perspectives. Heliyon 29;9(7):e17718. https://doi.org/10.1016/j.heliyon.2023.e17718. PMID: 37456029

McGilvray KC, Easley J, Seim HB, Regan D, Berven SH, Hsu WK, Mroz TE, Puttlitz CM (2018) Bony ingrowth potential of 3D-printed porous titanium alloy: a direct comparison of interbody cage materials in an in vivo ovine lumbar fusion model. Spine J 18(7):1250–1260. https://doi.org/10.1016/j.spinee.2018.02.018. PMID: 29496624

Article  PubMed  PubMed Central  Google Scholar 

Carbognani P, Vagliasindi A, Costa P, Pascarella L, Pazzini L, Bobbio A, Rusca M (2001) Surgical treatment of primary and metastatic sternal tumours. J Cardiovasc Surg (Torino) 42(3):411–414 PMID: 11398042

CAS  PubMed  Google Scholar 

Ely S, Gologorsky RC, Hornik BM, Velotta JB (2020) Sternal Reconstruction With Non-Rigid Biologic Mesh Overlay. Ann Thorac Surg 109(5):e357-e359. https://doi.org/10.1016/j.athoracsur.2019.08.072. PMID: 31580854

Article  PubMed  Google Scholar 

Kamel MK, Cheng A, Vaughan B, Stiles B, Altorki N, Spector JA, Port JL (2020) Sternal Reconstruction Using Customized 3D-Printed Titanium Implants. Ann Thorac Surg 109(6):e411-e414. https://doi.org/10.1016/j.athoracsur.2019.09.087. PMID: 31765620

Article  PubMed  Google Scholar 

Ahmad U, Yang H, Sima C, Buitrago DH, Ripley RT, Suzuki K, Bains MS, Rizk NP, Rusch VW, Huang J, Adusumilli PS, Rocco G, Jones DR (2015) Resection of Primary and Secondary Tumors of the Sternum: An Analysis of Prognostic Variables. Ann Thorac Surg 100(1):215–222. https://doi.org/10.1016/j.athoracsur.2015.03.013

Article  PubMed  PubMed Central  Google Scholar 

Joel RK, Benjamin SR, Rao VM, Kodiatte TA, Gnanamuthu BR, Mohammad A, Sameer M, David N (2024) Surgical management of sternal tumours-a decade of experience from a tertiary care centre in India. Indian J Thorac Cardiovasc Surg 40(2):184–190. https://doi.org/10.1007/s12055-023-01583-8. PMID: 38389767

Article  PubMed  Google Scholar 

Burt M, Karpeh M, Ukoha O, Bains MS, Martini N, McCormack PM, Rusch VW, Ginsberg RJ (1993) Medical tumors of the chest wall. Solitary plasmacytoma and Ewing’s sarcoma. J Thorac Cardiovasc Surg 105(1):89–96 PMID: 8419714

Article  CAS  PubMed  Google Scholar 

Palade E, Titu IM, Fodor L, Ciorba IM, Jentimir I, Teterea F, Mlesnite M, Tichil I (2025) Sternal Resections: An Attempt to Find the Ideal Reconstruction Method. Medicina (Kaunas). 61(4):763. https://doi.org/10.3390/medicina61040763. PMID: 40283055

Rochester SN, Lorenz W, Bolton W, Stephenson J, Ben-Or S (2020) Pectoralis muscle flaps for mediastinal reconstruction. Oper Tech Thorac Cardiovasc Surg 25:42–56. https://doi.org/10.1053/j.optechstcvs.2019.11.004

Article  Google Scholar 

Pohlman A, Hallare J, Facktor MA, Abdelsattar ZM (2025) 3-dimensional reconstruction and mixed reality in thoracic surgery: a narrative review and user guide. J Thorac Dis 17(12):11402–11419. https://doi.org/10.21037/jtd-2025-1779. PMID: 41522150

Comments (0)

No login
gif