@misc{TopolnitskiyChekalkinMarchenkoetal., author = {Topolnitskiy, Evgeniy and Chekalkin, Timofey and Marchenko, Ekaterina and Yasenchuk, Yuri and Kang, Seung-Baik and Kang, Ji-Hoon and Obrosov, Aleksei}, title = {Evaluation of Clinical Performance of TiNi-Based Implants Used in Chest Wall Repair after Resection for Malignant Tumors}, series = {Journal of Functional Biomaterials}, volume = {12}, journal = {Journal of Functional Biomaterials}, number = {4}, issn = {2079-4983}, doi = {10.3390/jfb12040060}, pages = {11}, abstract = {In this study, we assessed the outcomes after surgical treatment of thoracic post-excision defects in 15 patients, using TiNi knitted surgical meshes and customized artificial TiNi-based ribs. Methods: Eight patients were diagnosed with advanced non-small cell lung cancer (NSCLC) invading the chest wall, of which five patients were T3N0M0, two were T3N1M0, and one was T3N2M0. Squamous cell carcinoma was identified in three of these patients and adenocarcinoma in five. In two cases, chest wall resection and repair were performed for metastases of kidney cancer after radical nephrectomy. Three-dimensional CT reconstruction and X-ray scans were used to plan the surgery and customize the reinforcing TiNi-based implants. All patients received TiNi-based devices and were prospectively followed for a few years. Results: So far, there have been no lethal outcomes, and all implanted devices were consistent in follow-up examinations. Immediate complications were noted in three cases (ejection of air through the pleural drains, paroxysm of atrial fibrillation, and pleuritis), which were conservatively managed. In the long term, no complications, aftereffects, or instability of the thoracic cage were observed. Conclusion: TiNi-based devices used for extensive thoracic lesion repair in this context are promising and reliable biomaterials that demonstrate good functional, clinical, and cosmetic outcomes.}, language = {en} } @misc{ShtinNovikovChekalkinetal., author = {Shtin, Valentin and Novikov, Valeriy and Chekalkin, Timofey and Gunther, Victor and Marchenko, Ekaterina and Choynzonov, Evgeniy and Baik Kang, Seung and Jong Chang, Moon and Hoon Kang, Ji and Obrosov, Aleksei}, title = {Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts}, series = {Journal of Functional Biomaterials}, volume = {10}, journal = {Journal of Functional Biomaterials}, number = {3}, issn = {2079-4983}, doi = {10.3390/jfb10030027}, pages = {9}, abstract = {Repairs of orbital post-traumatic and extensive malignant defects remain a major surgical challenge, in view of follow-up outcomes. Incorrect surgical management of injured facial structures results in cosmetic, ophthalmic, and social aftereffects. A custom-made knitted TiNi-based mesh (KTNM) endograft was employed to overcome post-surgical complications and post-resected lesions of the orbital area. Preoperative high-resolution computed tomography (CT) imaging and CAD modelling were used to design the customized KTNM in each case. Twenty-five patients underwent surgery utilizing the suggested technique, from 2014 to 2019. In all documented cases, resolution of the ophthalmic malfunction was noted in the early period. Follow-up observation evidenced no relapsed enophthalmos, hypoglobus, or diplopia as late complications. The findings emanating from our clinical observations allow us to claim that the KTNM indicated a high level of biocompatibility. It is simply modified intraoperatively to attach any desired shape/size for implantation and can also be screw-fixed, providing a good supporting ability. The KTNM precisely renders orbitozygomatic outlines and orbital floor, thus recovering the anatomical structure, and is regarded as an attractive alternative to Ti-based meshes and plates. Additionally, we report one of the studied cases, where good functional and cosmetic outcomes have been achieved.}, language = {en} }