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Fig. 4 a) 3D CT format demonstrating congenital scoliosis with fused ribs (spondylocostal dysostosis) at the age of one year; b) three-year postoperative standing radiograph after staged thoracostomy and rib-to-rib vertical titanium prosthetic rib
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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insufficiency syndrome, rib distraction can be used ( 62 ). The procedure mainly consists of multiple open wedge thoracotomies followed by insertion of vertical expendable prosthetic titanium rib devices ( 63 ). The devices are hooked around the second and
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) and Post (B) Vertical Expandable Prosthetic Titanium Rib (VEPTR) Implantation. On the other hand, throughout the history of this instrumentation, subsequent studies have not been able to support the initial findings. For example, objective
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
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Faculty of Medicine, University of Berne, Berne, Switzerland
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given a new, polished surface ( 40 ). Also, titanium alloy was used in France as a material for the first time in the development of the Ceraver Osteal stem, with a similar shape to the Charnley–Kerboull stem ( 42 ). In contrast to the previous stem
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prosthetic titanium rib (VEPTR ) correct deformity by distractive forces applied across the deformity with anchors which are attached to the spine, rib or pelvis. Guided-growth techniques including Luque trolley and Shilla technique allow spinal growth while