Oklahoma prosthesis: resection of tumor of clavicle and chest wall reconstructed with a custom composite graft

Ann Thorac Surg. 2006 Jul;82(1):332-4. doi: 10.1016/j.athoracsur.2005.09.029.

Abstract

Tumors involving the clavicle by primary or metastatic growth may require clavicular resection often with rib resection. The resulting cosmetic and functional impairment of clavicular resection may be significant with a sloped appearing shoulder girdle and chronically impaired movement of the upper extremity. We report a 48-year-old woman presenting with a bulky metastatic renal cell mass of her left clavicle extending to the chest wall. We report en-bloc clavilculectomy and chest wall resection with a novel method of reconstruction using a single methyl methacrylate and prolene composite prosthesis in a configuration resembling the state of Oklahoma.

Publication types

  • Case Reports

MeSH terms

  • Biocompatible Materials
  • Bone Neoplasms / blood supply
  • Bone Neoplasms / secondary*
  • Bone Neoplasms / surgery
  • Bone Neoplasms / therapy
  • Carcinoma, Renal Cell / blood supply
  • Carcinoma, Renal Cell / secondary*
  • Carcinoma, Renal Cell / surgery
  • Carcinoma, Renal Cell / therapy
  • Clavicle / surgery*
  • Combined Modality Therapy
  • Embolization, Therapeutic
  • Equipment Design
  • Female
  • Humans
  • Kidney Neoplasms / pathology*
  • Kidney Neoplasms / surgery
  • Methylmethacrylate
  • Middle Aged
  • Nephrectomy
  • Plastic Surgery Procedures*
  • Prostheses and Implants*
  • Subclavian Artery
  • Surgical Flaps
  • Surgical Mesh
  • Thoracic Arteries
  • Thoracic Neoplasms / blood supply
  • Thoracic Neoplasms / secondary*
  • Thoracic Neoplasms / surgery
  • Thoracic Neoplasms / therapy
  • Thoracic Wall / surgery*

Substances

  • Biocompatible Materials
  • Methylmethacrylate