We performed chest wall repair with titanium alloy instruments as artificia
l ribs for prevention of paradoxical respiration and protection of the lung
and liver after chest wall resection including the nearly entire length of
the right seventh to the eleventh ribs and the costal arch for metastasis
of osteosarcoma. The technique of this operation is presented diagrammatica
lly. (C) 1998 by The Society of Thoracic Surgeons.