{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:18:04Z","timestamp":1783426684079,"version":"3.54.6"},"reference-count":22,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The Codubix\u00ae \u017bEBRA and Codubix\u00ae S \u017bEBRA prostheses (by Tricomed SA), made of a biocompatible polypropylene\u2013polyester braid, were developed as tools for the treatment of bone defects resulting from cancer surgery or mechanical injuries. Methods: The retrospective analysis investigation presents the efficacy and safety of rib bone prostheses made of knitted polyester\u2013polypropylene fabric used to fill defects in the ribs and sternum. Data were collected from 113 patients (68 males, 45 females) undergoing surgery at three clinical centres. Prosthesis implantation was performed to bridge bone defects in the ribs and\/or sternum. The analysis included preoperative and intraoperative data, two follow-up visits and a final interview with the patients. All prostheses were implanted using two techniques for filling defects in the chest wall: the \u2018hammock\u2019 (suspension) fixation method in 87 patients, and the \u2018rigid\u2019 fixation method in 26 patients. Results: The main cause of defects was cancer surgery (95.6%) performed in cases of sarcomas, squamous cell carcinomas, and desmoid tumours. Other causes (e.g., congenital defects and mechanical trauma) were less common. The \u2018rigid\u2019 fixation method extended the surgery time by approximately 16 min compared to the suspension method. Differences were also noted in the recovery period\u2014an average of 56 days for the \u2018hammock\u2019 method and 30 days for the \u2018rigid\u2019 method. During the second follow-up visit, the treatment outcome using these prostheses was rated as good in 90.3% of cases. The average duration of hospitalisation was 21 days, regardless of the implantation method. No prosthesis-related adverse events were reported. Complications were observed in 21 cases in the first days after surgery. The most common ones were sensory disturbances (5.3%), infections (3.5%), haematomas and blood effusions (2.7%). Conclusions: A retrospective study demonstrates that knitted prostheses are safe and effective solution for repairing extensive defects resulting from tumours, trauma or congenital malformations. The implants ensure high patient comfort and maintain normal physical functioning without interference.<\/jats:p>","DOI":"10.3390\/jcm15135297","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T09:53:46Z","timestamp":1783418026000},"page":"5297","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the Effectiveness and Safety of the Use of CODUBIX\u00ae \u017bEBRA, CODUBIX\u00ae S \u017bEBRA Rib Bone Prostheses"],"prefix":"10.3390","volume":"15","author":[{"given":"Tadeusz","family":"Or\u0142owski","sequence":"first","affiliation":[{"name":"Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Zieli\u0144ski","sequence":"additional","affiliation":[{"name":"The Respiratory Hospital in Zakopane, 34-500 Zakopane, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janusz","family":"W\u0142odarczyk","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Surgical Oncology, John Paul II Hospital, 31-202 Cracow, Poland"},{"name":"Department of Thoracic Surgery, Jagiellonian University Collegium Medicum, 31-008 Cracow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Kasprzak","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of Lodz, 90-549 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8102-1230","authenticated-orcid":false,"given":"Magdalena","family":"Tokarska","sequence":"additional","affiliation":[{"name":"Faculty of Textiles and Design, Institute of Architecture of Textiles, Lodz University of Technology, 116 Zeromskiego St., 90-543 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaja","family":"Jezierska","sequence":"additional","affiliation":[{"name":"Tricomed S.A., \u015awi\u0119toja\u0144ska 5\/9, 93-493 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witold","family":"Sujka","sequence":"additional","affiliation":[{"name":"Tricomed S.A., \u015awi\u0119toja\u0144ska 5\/9, 93-493 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S1855","DOI":"10.21037\/jtd.2018.05.191","article-title":"Chest wall resection and reconstruction for tumors: Analysis of oncological and functional outcome","volume":"10","author":"Scarnecchia","year":"2018","journal-title":"J. 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