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J.Jpn. Surg. Soc.. 81(10): 1290-1300, 1980


Original article

EXPERIMENTAL STUDIES ON THE CHEST WALL RECONSTRUCTION

Second Department of Surgery, School of Medicine, Tokushima University (Director: Prof. Kenji Inoue)

Koji Kurayama

The chest wall reconstruction is necessary to prevent serious complications of flail chest caused by excessive defects of the chest wall.
Canine chest wall was excised and reconstructed with artificial ribs which were made by our “tube molding method”, stuffing bone cement into teflon tubes.
42 mongrel dogs were used for experiment and they were divided into three groups: simple artificial ribs were implanted in group A, artificial ribs with holed ends were in group B, and artificial ribs with holed ends tied with the end of recipient's ribs were in group C.
Roentogenologic observation sometimes revealed a fracture on the recipient's ribs in group A and loosend and/or brokend artificial ribs in group B, wheares successful results were obtained in group C without any complication mentioned above over eight months postoperatively.
On histological study, degeneration of rib was the prominent feature, especially in group A.
An increased thoracic compliance recovered within normal value soon after the implantation and stayed on in normal range during the observation period.
In conclusion, the artificial ribs by our method are available for chest wall reconstruction without a harmful effect on the recipient.


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