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首页> 外文期刊>Annals of Thoracic Medicine >A novel technique for the reconstruction of resected sternoclavicular joints: A case report with a review of the literature
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A novel technique for the reconstruction of resected sternoclavicular joints: A case report with a review of the literature

机译：一种新的重建肩锁关节切除术的新技术：一例报道并文献复习

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摘要

Sternal metastasis in thyroid cancer is an uncommon occurrence with only a handful of cases of chest wall resections being done. Sternal reconstruction for both primary and secondary tumors has been performed using various techniques and materials such as the mesh, methyl acrylate resin, and steel plates; however, this is a case of papillary thyroid cancer involving the sternum in a 50-year-old woman who had resection of the sternum with reconstruction using titanium bars and clips (STRATOS system) fixed to the clavicles with an underlying Proceed mesh. STRATOS system showed good recovery postoperatively. The functional results were excellent with the patient being able to perform all daily activities unassisted after 1 month and almost complete range of motion with acceptable limitations in power of the shoulder muscles after 2 months. We have reviewed all the English language publications of the subject by doing Medline search for the last 25 years and we present here the surgical management of this pathology with our novel approach by using the titanium steel bars to stabilize both medial aspects of the resected clavicles as a promising therapy for manubrial reconstruction and clavicular fixation.
机译：甲状腺癌的胸骨转移很少见，只有少数病例行胸壁切除术。已经使用多种技术和材料（例如网片，丙烯酸甲酯树脂和钢板）对原发性和继发性肿瘤进行了胸骨重建。然而，这是一起甲状腺乳头状癌的病例，该例涉及一名50岁女性，其胸骨切除后使用钛棒和夹子（STRATOS系统）通过固定的Proceed网格固定在锁骨上，进行了胸骨切除。 STRATOS系统术后恢复良好。患者在1个月后能够无辅助地执行所有日常活动，并且在2个月后几乎可以完成运动范围且肩部肌肉的力量受到可接受的限制时，其功能性结果非常出色。在过去的25年中，我们通过进行Medline搜索对本主题的所有英语出版物进行了回顾，在这里，我们介绍了我们的新方法，通过使用钛钢棒来稳定切除的锁骨的两个内侧，从而对这种病理的外科治疗。用于手法重建和锁骨固定的有前途的疗法。

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