ArticleJournal of surgical case reports2026
Colocutaneous fistula as a consequence of titanium implant migration following sternal chondrosarcoma resection: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Sternal chondrosarcoma is a rare malignancy requiring wide resection and chest wall reconstruction, typically using titanium implants. These implants may rarely lead to late migration. We report a 72-year-old male who presented with a colocutaneous fistula in 2026, 10 years after total sternectomy and titanium reconstruction for low-grade chondrosarcoma. He remained asymptomatic for 4 years, then developed skin erythema at the inferior edge of the surgical scar, which progressed to fecal discharge but delayed consultation for 4 years due to absence of systemic symptoms. Computed tomography showed migration of the titanium implant. Management included implant removal, extended right hemicolectomy, and ileo-transverse anastomosis. The chest wall was stabilized with a thoracic corset. This case demonstrates the need for prolonged clinical and radiological vigilance for late mechanical failure in long-term survivors of low-grade sternal tumors, emphasizing that subtle skin changes over the prosthesis should prompt early cross-sectional imaging to prevent severe visceral complications.
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