Arch Plast Surg.
2021 Sep;48(5):498-502. 10.5999/aps.2021.00682.
Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
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- 1Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA
- KMID: 2520151
- DOI: http://doi.org/10.5999/aps.2021.00682
Abstract
- Total and subtotal sternectomy oncological defects can result in large deficits in the chest wall, disrupting the biomechanics of respiration. Reviewing the current literature involving respiratory function and rib motion after sternectomy, autologous rigid reconstruction was determined to provide the optimal reconstructive option. We describe a novel technique for sternal defect reconstruction utilizing a double-barrel, longitudinally oriented, vascularized free fibula flap associated with rib titanium plates fixation. Our reconstructive approach was able to deliver a physiological reconstruction, providing rigid support and protection while allowing articulation with adjacent ribs and preservation of chest wall mechanics.
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