Reconstruction with antibiotic loaded single-side gore-tex “Tartine” methyl-methacrylate cementoplasty for pediatric chest wall reconstruction: A 10-case series - 22/09/24
, Max Piffoux c, d, e, Pierre Yves Rabattu f, Anne Pourquet a, Quoc Peyrot g, Yohann Robert f, Franck Chotel a, Fréderic Hameury gAbstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Sarcoma, Cementoplasty, Chest wall, Reconstruction, Infection, Complications
Plan
Vol 110 - N° 6
Article 103895- octobre 2024 Retour au numéro
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