Reconstruction with antibiotic loaded single-side gore-tex “Tartine” methyl-methacrylate cementoplasty for pediatric chest wall reconstruction: A 10-case series - 10/05/24

Doi : 10.1016/j.otsr.2024.103895

Coline Ducrot ^a,^b,⁎ , Max Piffoux ^c,^d,^e, Pierre Yves Rabattu ^f, Anne Pourquet ^a, Quoc Peyrot ^g, Yohann Robert ^f, Franck Chotel ^a, Fréderic Hameury ^g
^a Department of Pediatric Orthopedic Surgery, Hôpital Femme Mère Enfant, 32, avenue du Doyen-Jean-Lépine, 69677 Lyon cedex, France
^b Team Cell Death and Pediatric Cancer, Cancer Initiation and Tumor Cell Identity Department, Inserm 1052, CNRS5286, Cancer Research Center of Lyon, 69008 Lyon, France
^c Medical Oncology - oncologie médicale, centre Léon-Bérard, Lyon, France
^d Medical Oncology, hospices civils de Lyon, Lyon, France
^e Laboratoire matière et systèmes complexes (MSC), université de Paris, CNRS UMR7057, 45, rue des Saints-Pères, 75006 Paris, France
^f Department of Pediatric Visceral Surgery, CHU of Grenoble Alpes, Hôpital couple enfant, quai Yermoloff, 38700 La Tronche, France
^g Department of Pediatric Thoracic Surgery, Hôpital Femme Mère Enfant, 32, avenue du Doyen-Jean-Lépine, 69677 Lyon cedex, France

^⁎Corresponding author. Department of Pediatric Orthopedic Surgery, Hôpital Femme Mère Enfant, 32, avenue du Doyen-Jean-Lépine, 69677 Lyon cedex, France.Department of Pediatric Orthopedic Surgery, Hôpital Femme Mère Enfant32, avenue du Doyen-Jean-LépineLyon cedex69677France

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Friday 10 May 2024

Abstract

Introduction

Chest wall reconstruction in children after large resection of tumors may be performed with rigid or soft materials. Cementoplasty is commonly used with the “Sandwich” method i.e. gore-tex meshes surrounding both faces of the cement.

Hypothesis

Is antibiotic loaded single-side gore-tex “Tartine” methyl-methacrylate cementoplasty an interesting alternative to the double-side “sandwich” method for chest wall reconstruction?

Material and methods

Consecutive patients who were treated from 2011 to 2023 in our hospital were included.

Results

Among the ten children treated with a median 5.6 years follow-up, there were no surgical complications related to the reconstruction, loss of function, infections, post operative complications (versus 22.7% in meta-analysis encompassing the 50 rigid reconstructions reported worldwide) nor scoliosis (versus 25%). Three patients have an asymmetric chest wall appearance.

Discussion

“Tartine” cementoplasty is a simple, low-cost technique for pediatric chest wall reconstruction. It is well tolerated and checks key demands for chest wall reconstructions.