Innovative chest wall reconstruction with a locking plate and cement spacer after radical resection of chondrosarcoma in the sternum: A case report

Figure 7 Intraoperative photos demonstrating the shaping of bone cement spacer for the sternum. A: We measured the defect size carefully, remodeled the polymethyl methacrylate to meet the shape of manubrium, and inserted Kirschner wire creating holes for anchoring sutures; B: Mesh placement over the mediastinum to prevent cement spacer from direct contact with the surrounding musculature and major blood vessels; C: Ethibond sutures passing through the spacer anchoring surrounding bony structures, muscles, and the J-shaped locking plate.