Restoring thoracic stability with rigid titanium rib reconstruction after radical forequarter and upper chest wall resection for T4 chondrosarcoma.

Ahmad D Rifa'i, Hashfi F Raz, Muhammad H Duha, Noel M I Sihombing, Muhammad Fadli P Pahlevi

Abstract readCase Reports

In one paragraph

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 · Who and what money

Authors and funding

5 authors.

Ahmad D Rifa'iDepartment of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra, RSUP H. Adam Malik, Medan, Indonesia.ORCID https://orcid.org/0009-0003-1466-7914

Hashfi F RazDepartment of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra, RSUP H. Adam Malik, Medan, Indonesia.

Muhammad H DuhaDepartment of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra, RSUP H. Adam Malik, Medan, Indonesia.

Noel M I SihombingDepartment of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra, RSUP H. Adam Malik, Medan, Indonesia.

Muhammad Fadli P PahleviDepartment of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra, RSUP H. Adam Malik, Medan, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extensive anterior chest wall involvement in chondrosarcoma presents major reconstructive challenges following radical oncologic resection. A 55-year-old man with cT4N0M0 chondrosarcoma involving the right shoulder girdle, ribs 1-4, and right upper lobe underwent en bloc extended forequarter amputation, multilevel rib resection, and right upper lobe segmentectomy. Chest wall reconstruction was performed using a titanium-based RibLoc plating system with vascularized soft-tissue flap coverage. Postoperatively, chest wall stability was preserved without paradoxical motion, and radiographs confirmed appropriate implant positioning. The patient was successfully weaned from mechanical ventilation on postoperative day two and transferred from the intensive care unit on day three without major complications. Rigid titanium rib fixation provided effective structural restoration and favorable early postoperative outcomes following extensive anterior chest wall resection for advanced chondrosarcoma.

Indexed as

chest wall reconstructionchondrosarcomaforequarter amputationthoracic surgerytitanium plating

Identifiers

PMID42774796

DOI10.1093/jscr/rjag845

PMCPMC13594655

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.