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Orthop Traumatol Surg Res ; 110(6): 103895, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-38657749

RESUMO

INTRODUCTION: Chest wall reconstruction in children after large resection of tumors may be performed with rigid or soft materials. Cementoplasty is commonly used with the "Sandwich" method i.e. gore-tex meshes surrounding both faces of the cement. HYPOTHESIS: Is antibiotic loaded single-side gore-tex "Tartine" methyl-methacrylate cementoplasty an interesting alternative to the double-side "sandwich" method for chest wall reconstruction? MATERIAL AND METHODS: Consecutive patients who were treated from 2011 to 2023 in our hospital were included. RESULTS: Among the ten children treated with a median 5.6 years follow-up, there were no surgical complications related to the reconstruction, loss of function, infections, post operative complications (versus 22.7% in meta-analysis encompassing the 50 rigid reconstructions reported worldwide) nor scoliosis (versus 25%). Three patients have an asymmetric chest wall appearance. DISCUSSION: "Tartine" cementoplasty is a simple, low-cost technique for pediatric chest wall reconstruction. It is well tolerated and checks key demands for chest wall reconstructions. LEVEL OF EVIDENCE: IV; retrospective case series.


Assuntos
Antibacterianos , Cimentos Ósseos , Procedimentos de Cirurgia Plástica , Politetrafluoretileno , Parede Torácica , Humanos , Criança , Parede Torácica/cirurgia , Masculino , Feminino , Estudos Retrospectivos , Antibacterianos/administração & dosagem , Pré-Escolar , Adolescente , Procedimentos de Cirurgia Plástica/métodos , Cementoplastia/métodos , Metilmetacrilato , Neoplasias Torácicas/cirurgia , Seguimentos , Resultado do Tratamento
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