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Ann Thorac Med. 2018 Oct-Dec;13(4):226-229. doi: 10.4103/atm.ATM_80_18.

Porous alumina ceramic sternum: A reliable option for sternal replacement.

Author information

1
Department of Cardiothoracic Surgery, Limoges Teaching Hospital, Limoges, France.
2
Department of R and D, I.Ceram, Limoges, France.
3
Department of Cardiothoracic Surgery, Reims Teaching Hospital, Reims, France.

Abstract

CONTEXT:

To date, there is no gold standard technique for sternum replacement. Current techniques rely on metallic prosthesis, meshes and bars, or bone grafts. However, they have several pitfalls.

AIMS:

The aim of this article is to report the results of sternal replacement with a porous alumina ceramic sternum.

SETTINGS AND DESIGN:

Surgeries were performed in two teaching hospitals in France.

METHODS:

We designed a porous alumina ceramic prosthesis which possesses interesting characteristics for this surgery such as great biocompatibility, a certain level of bacterial resistance, radiolucency, and compatibility with radiotherapy. The implant is stitched to the ribs with suture thread and does not require osteosynthesis material.

RESULTS:

Six patients with a mean age of 60.6 years received this prosthesis. Indication was tumor in five cases and mediastinitis in one case. The mean follow-up is 20 months (3-37 months). No major complication occurred and healing was fine for all patients. Patients did not complain of breathing discomfort or pain related to the prosthesis.

CONCLUSIONS:

This new technique is promising even if there are only six patients in this study.

KEYWORDS:

Alumina; cancer; ceramic; prosthesis; replacement; sternum

Conflict of interest statement

E. Denes is an employee of I. Ceram and hold stocks; Fran├žois Bertin is a member of the scientific committee of I. Ceram. There are no conflicts of interest for the other authors.

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