{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:44:10Z","timestamp":1790289850593,"version":"4.1.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We describe the use of 3-dimensional (3D) printing technology to plan and reconstruct the sternum, adjoining cartilages, and ribs with a custom-made, anatomically designed, 3D-printed titanium implant for an isolated sternal metastasis complicated with a pathological fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We imported submillimeter slice computed tomography scan data into Mimics Medical 20.0 software and by manual bone threshold segmentation created a 3D virtual model of the patient\u2019s chest wall and tumor. For all-around tumor-free margins, we grew the tumor by 2 cm. The replacement implant was designed in 3D using the anatomical features of the sternum, cartilages, and ribs and manufactured using TiMG 1 powder fusion technology. Physiotherapy was provided prior to and following surgery, and the impact of reconstruction on pulmonary functions was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At surgery, the precise resection, clear margins, and a secure fit were achieved. At follow-up, there was no dislocation, paradoxical movement, change in performance status, or dyspnea. There was a decrease in forced expiratory volume in 1 s (FEV\n                      <jats:sub>1<\/jats:sub>\n                      ) from 105% prior to surgery to 82% following surgery and in forced vital capacity (FVC) from 108% to 75%, with no difference in the FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC ratio, suggesting a restrictive pattern of impairment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>With 3D printing technology, reconstructing a large anterior chest wall defect with a custom-made, anatomical, 3D-printed titanium alloy implant is feasible and safe, and it preserves the shape, structure, and function of the chest wall, albeit with a restrictive pattern of pulmonary function, which can be addressed with physiotherapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845231153632","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T07:08:17Z","timestamp":1676876897000},"page":"67-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["3D Printing Technology for Chest Wall Reconstruction With a Sternum-Ribs-Cartilage Titanium Implant: From Ideation to Creation"],"prefix":"10.1177","volume":"18","author":[{"given":"Ira","family":"Goldsmith","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Morriston Hospital, Swansea, Wales, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Dovgalski","sequence":"additional","affiliation":[{"name":"Maxillofacial Laboratory Services, Morriston Hospital, Swansea, Wales, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Llewelyn","family":"Evans","sequence":"additional","affiliation":[{"name":"Maxillofacial Laboratory Services, Morriston Hospital, Swansea, Wales, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"bibr1-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2017.01.014"},{"key":"bibr2-15569845231153632","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2017.06.10"},{"key":"bibr3-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2015.05.002"},{"key":"bibr4-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1186\/s41205-020-00079-0"},{"key":"bibr5-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1177\/15569845221102138"},{"key":"bibr6-15569845231153632","doi-asserted-by":"publisher","DOI":"10.3109\/10929080802195783"},{"key":"bibr7-15569845231153632","doi-asserted-by":"publisher","DOI":"10.3109\/10929080701680265"},{"key":"bibr8-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593863"},{"key":"bibr9-15569845231153632","doi-asserted-by":"publisher","DOI":"10.3390\/ma12010176"},{"key":"bibr10-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100663"},{"key":"bibr11-15569845231153632","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv265"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845231153632","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845231153632","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845231153632","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:18:32Z","timestamp":1777461512000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845231153632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1177\/15569845231153632"],"URL":"https:\/\/doi.org\/10.1177\/15569845231153632","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}