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The Use of a Gore-Tex Soft-Tissue Patch to Repair Large Full-Thickness Defects After Subtotal Sternectomy A Report of Three Cases
Henry F.H. Halm, MD; Christiane Hoffmann, MD; Winfried Winkelmann, MD
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Investigation performed at the Department of Orthopaedic Surgery, Westfälische Wilhelms-Universität, Münster, Germany
Henry F.H. Halm, MD Spine Surgery and Scoliosis Center, Center for Chest Wall Deformities, Klinikum Neustadt, Am Kiebitzberg 10, 23730 Neustadt, Germany.
Christiane Hoffmann, MD Winfried Winkelmann, MD Department of Orthopaedic Surgery, Westfälische Wilhelms-Universität, Albert-Schweitzer-Strasse 33, 48149 Münster, Germany
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

J Bone Joint Surg Am, 2001 Mar 01;83(3):420-420
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Primary tumors of the sternum are rare, accounting for approximately 1% of primary bone tumors1. Most of these primary tumors are malignant, and the most common lesion is a chondrosarcoma. To avoid local recurrence, it is critical that a wide en bloc resection of the tumor be performed. Management of large defects of the chest wall after resection has ­remained difficult and controversial2. Various methods of reconstruction have been described, including the use of steel bars and Marlex mesh2, the use of Marlex mesh with or without methylmethacrylate3-7, and the use of acrylic resin4. When primary wound closure has not been possible, various myo­cutaneous flaps, including pedicle omental flaps, have been used to close the defect3,5,6,8-13.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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