{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:01:44Z","timestamp":1790067704134,"version":"4.0.1"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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\u20134, 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.<\/jats:p>","DOI":"10.1093\/jscr\/rjag845","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:30:44Z","timestamp":1788521444000},"source":"Crossref","is-referenced-by-count":0,"title":["Restoring thoracic stability with rigid titanium rib reconstruction after radical forequarter and upper chest wall resection for T4 chondrosarcoma"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1466-7914","authenticated-orcid":false,"given":"Ahmad D","family":"Rifa\u2019i","sequence":"first","affiliation":[{"name":"Department of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra , RSUP H. 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Adam Malik, Medan,","place":["Indonesia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Fadli P","family":"Pahlevi","sequence":"additional","affiliation":[{"name":"Department of Thoracic, Cardiac and Vascular Surgery, University of North Sumatra , RSUP H. Adam Malik, Medan,","place":["Indonesia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"2026092204180462400_ref1","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1634\/theoncologist.2007-0237","article-title":"The clinical approach towards chondrosarcoma","volume":"13","author":"Gelderblom","year":"2008","journal-title":"Oncologist"},{"key":"2026092204180462400_ref5","doi-asserted-by":"publisher","first-page":"2916","DOI":"10.1093\/annonc\/mdt374","article-title":"Advanced chondrosarcomas: role of chemotherapy and survival","volume":"24","author":"Italiano","year":"2013","journal-title":"Ann Oncol"},{"key":"2026092204180462400_ref10","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/S0003-4975(10)61315-X","article-title":"New trends in skeletal reconstruction after resection of chest wall tumors","volume":"31","author":"McCormack","year":"1981","journal-title":"Ann Thorac Surg"},{"key":"2026092204180462400_ref11","first-page":"656","article-title":"Rigid chest wall reconstruction: current concepts and outcomes","volume":"54","author":"Gonzalez","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026092204180462400_ref12","first-page":"696","article-title":"Titanium plates and dual mesh: a modern solution for chest wall reconstruction","volume":"43","author":"Berthet","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026092204180462400_ref7","doi-asserted-by":"crossref","first-page":"iii113","DOI":"10.1093\/annonc\/mdu256","article-title":"Bone sarcomas: ESMO clinical practice guidelines","volume":"25","author":"Gelderblom","year":"2014","journal-title":"Ann Oncol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag845\/71302841\/rjag845.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag845\/71302841\/rjag845.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:18:10Z","timestamp":1790065090000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag845\/8826499"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":6,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag845","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag845"}}