Multidirectional Thoracic Wall Stabilization: A New Device on the Scene  Marcus Krüger, MD, Norman Zinne, MD, Ruoyu Zhang, MD, Jan Philipp Schneider, MD,

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Multidirectional Thoracic Wall Stabilization: A New Device on the Scene  Marcus Krüger, MD, Norman Zinne, MD, Ruoyu Zhang, MD, Jan Philipp Schneider, MD, Andreas Heckmann, MD, Axel Haverich, MD, Claus Petersen, MD  The Annals of Thoracic Surgery  Volume 96, Issue 5, Pages 1846-1849 (November 2013) DOI: 10.1016/j.athoracsur.2013.06.088 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) The tripodal multidirectional thoracic wall stabilization (MTS) clip, with (B) rotation lug, which takes the titanium bar. The Annals of Thoracic Surgery 2013 96, 1846-1849DOI: (10.1016/j.athoracsur.2013.06.088) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The additional bar connector has one rotating lug for vertical stabilization. The Annals of Thoracic Surgery 2013 96, 1846-1849DOI: (10.1016/j.athoracsur.2013.06.088) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Left-sided flail chest. (A) Three-dimensional view by computed tomography reveals fractures of the left ribs 3 to 7. (B) Roentgenogram 17 months later shows the implants in correct position. The Annals of Thoracic Surgery 2013 96, 1846-1849DOI: (10.1016/j.athoracsur.2013.06.088) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 A 17-year-old male with Poland syndrome. (A) Three-dimensional view by computed tomography shows the hypoplastic ribs 3 to 5. (B) Roentgenogram of the thorax 9 months later shows the implants still in place. The Annals of Thoracic Surgery 2013 96, 1846-1849DOI: (10.1016/j.athoracsur.2013.06.088) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 A 67-year-old man presenting with a recurrent thoracic wall (intercostal) hernia. (A) Computed tomography scan shows the hernia between ribs 9 and 10. (B) Roentgenogram control 9 months later shows the implants in correct position. The Annals of Thoracic Surgery 2013 96, 1846-1849DOI: (10.1016/j.athoracsur.2013.06.088) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions