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논문 기본 정보

자료유형
학술저널
저자정보
Maliska, Charles Miles III (Department of Surgery, University of Oklahoma College of Medicine-Tulsa) Archer, Robert Lloyd (Saint Francis Heart Hospital) Tarpley, Sharon Kaye (Tulsa Plastic Surgery) Miller III, Archibald Sanford (Tulsa Plastic Surgery)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제6호
발행연도
2018.1
수록면
593 - 597 (5page)

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Sternal malunion, or loss, developed after a median sternotomy cannot only be difficult to manage and treat, but also may diminish one's quality-of-life drastically. The technique presented here represents a multispecialty approach in one stage for the reconstruction of an unstable thoracic cage. The procedure utilized a donated sternum and ribs. The sternum with ribs harvested from a single donor included adipose derived stromal vascular fraction (ADSVF) cells with marrow also from the same donor. Autologous muscle flaps, stabilized with acellular dermal matrix were utilized to provide a robust blood supply to the ADSVF cells and bone grafts. Acellular dermal matrix was used to construct the ribs and stabilize the plugs of stem cells and bone. These procedures, in the hands of multispecialty physicians, have led to several successful reconstructions involving complex chest wall deformities. This surgical intervention was performed in a one stage operation. This represents the first successful complete sternal transplant in a patient with return to normal activities and increased quality-of-life.

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