PMC9528719_01
Preoperative 3D reconstruction CT imaging with circled costal margin rupture causing chest wall deformity. A- Sagittal view. B- Coronal view.
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F1
CT imaging in 2021 noted displaced left lateral seventh and eighth ribs, noted chest wall deformity, and when three-dimensional (3D) reconstruction of his ribs was created, this noted a left-sided costal margin rupture at the sixth and seventh ribs (figure 1).
Preoperative planning 3D printed chest wall to pre-mold rib plate.
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F2
The 3D printing of his ribs was created, and a custom rib plate, a sternal T plate 2mm thick, was molded preoperatively to the contour of his ribs as they had become deformed since the accident (figure 2).
Intraoperative imaging. A- Exposure prior to rib plating. B- Completed rib plating with pre-molded rib plate secured into place noting to traverse the costal margin rupture with T portion secured on costal margin.
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F3
The custom molded plate was brought to the field and fit into place, secured with sternal screws, and inspected to be in adequate position (figure 3).