Titanium Implant Failure After Chest Wall Osteosynthesis

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Titanium Implant Failure After Chest Wall Osteosynthesis Jean-Philippe Berthet, MD, PhD, Abel Gomez Caro, MD, PhD, Laurence Solovei, MD, Matthieu Gilbert, MD, Sébastien Bommart, MD, PhD, Philippe Gaudard, MD, Ludovic Canaud, MD, PhD, Pierre Alric, MD, PhD, Charles-Henri Marty-Ané, MD, PhD The Annals of Thoracic Surgery Volume 99, Issue 6, Pages 1945-1952 (June 2015) DOI: 10.1016/j.athoracsur.2015.02.040 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Different types of implants associating a connecting bar or plate and rib fixation system. (A) Plate and screw (Matrix, DePuy Synthes). (B) Bars and clips (Stratos, MedXpert). The Annals of Thoracic Surgery 2015 99, 1945-1952DOI: (10.1016/j.athoracsur.2015.02.040) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Large defect bridging after tumor resection. (A) Lateral defect of the left chest wall; reconstruction with four Stratos implants associating bars and clips (Stratos). (B) Anterior defect of the chest wall; reconstruction with a combination of bars and clips (Stratos) and 2-mm-thick polytetrafluoroethylene mesh. The Annals of Thoracic Surgery 2015 99, 1945-1952DOI: (10.1016/j.athoracsur.2015.02.040) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Different types of implant failure. Stratos; MedXpert: (A) Fracture of the rib fixation system at the joint, this part has been reinforced by the manufacturer. (B) Fracture of the connecting bar. (C) Disconnection between bar and clip. Matrix mandible, DePuy Synthes: (D) fracture of the plate. The Annals of Thoracic Surgery 2015 99, 1945-1952DOI: (10.1016/j.athoracsur.2015.02.040) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Global survival without implant failure. The Annals of Thoracic Surgery 2015 99, 1945-1952DOI: (10.1016/j.athoracsur.2015.02.040) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Survival without implant failure according to the location of chest wall defect and titanium chest wall osteosynthesis. The Annals of Thoracic Surgery 2015 99, 1945-1952DOI: (10.1016/j.athoracsur.2015.02.040) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Survival without titanium implant failure according to the combination with (A) a mesh, (B) the indication for reconstruction, (C) the number of implants, and (D) the type of implants. The Annals of Thoracic Surgery 2015 99, 1945-1952DOI: (10.1016/j.athoracsur.2015.02.040) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions