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The Journal of Bone and Joint Surgery 83:420 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Case Report

The Use of a Gore-Tex Soft-Tissue Patch to Repair Large Full-Thickness Defects After Subtotal Sternectomy

A Report of Three Cases

Henry F.H. Halm, MD, Christiane Hoffmann, MD and Winfried Winkelmann, MD

Investigation performed at the Department of Orthopaedic Surgery, Westfälische Wilhelms-Universität, Münster, Germany
Henry F.H. Halm, MD Spine Surgery and Scoliosis Center, Center for Chest Wall Deformities, Klinikum Neustadt, Am Kiebitzberg 10, 23730 Neustadt, Germany.
Christiane Hoffmann, MD Winfried Winkelmann, MD Department of Orthopaedic Surgery, Westfälische Wilhelms-Universität, Albert-Schweitzer-Strasse 33, 48149 Münster, Germany
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Primary tumors of the sternum are rare, accounting for approximately 1% of primary bone tumors1. Most of these primary tumors are malignant, and the most common lesion is a chondrosarcoma. To avoid local recurrence, it is critical that a wide en bloc resection of the tumor be performed. Management of large defects of the chest wall after resection has ­remained difficult and controversial2. Various methods of reconstruction have been described, including the use of steel bars and Marlex mesh2, the use of Marlex mesh with or without methylmethacrylate3-7, and the use of acrylic resin4. When primary wound closure has not been possible, various myo­cutaneous flaps, including pedicle omental flaps, have been used to close the defect3,5,6,8-13.

One of us (W.W.) and colleagues first used a Gore-Tex soft-tissue patch in 1992 to close a large chest-wall defect after a subtotal sternectomy that had been performed . . . [Full Text of this Article]


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