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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Bone and soft tissue sarcomas, tumors of the skin</journal-id><journal-title-group><journal-title xml:lang="en">Bone and soft tissue sarcomas, tumors of the skin</journal-title><trans-title-group xml:lang="ru"><trans-title>Саркомы костей, мягких тканей и опухоли кожи</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2219-4614</issn><issn publication-format="electronic">2782-3687</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">772</article-id><article-id pub-id-type="doi">10.17650/2219-4614-2025-17-4-37-45</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>BONE SARCOMAS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>САРКОМЫ КОСТЕЙ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Reconstruction of post-resection defects of the superior and inferior thoracic aperture framework</article-title><trans-title-group xml:lang="ru"><trans-title>Реконструкция пострезекционных дефектов каркаса верхней и нижней апертур грудной клетки</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3882-4665</contrib-id><name-alternatives><name xml:lang="en"><surname>Anisenya</surname><given-names>I. I.</given-names></name><name xml:lang="ru"><surname>Анисеня</surname><given-names>И. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>khurshed.1319@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8676-2932</contrib-id><name-alternatives><name xml:lang="en"><surname>Khakimov</surname><given-names>Khurshed I.</given-names></name><name xml:lang="ru"><surname>Хакимов</surname><given-names>Хуршед Илхомжонович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>khurshed.1319@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Tomsk National Research Medical Center of the Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Томский национальный исследовательский медицинский центр Российской академии наук»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Siberian State Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2026-02-03" publication-format="electronic"><day>03</day><month>02</month><year>2026</year></pub-date><volume>17</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>37</fpage><lpage>45</lpage><history><date date-type="received" iso-8601-date="2025-11-07"><day>07</day><month>11</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Anisenya I.I., Khakimov K.I.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Анисеня И.И., Хакимов Х.И.</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Anisenya I.I., Khakimov K.I.</copyright-holder><copyright-holder xml:lang="ru">Анисеня И.И., Хакимов Х.И.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://sarbon.abvpress.ru/jour/article/view/772">https://sarbon.abvpress.ru/jour/article/view/772</self-uri><abstract xml:lang="en"><p>A surgical method is often used to treat a tumor lesion of the chest wall. Such procedures inevitably result in a defect that disrupts the skeletal framework and biomechanics of the thorax, leading to subsequent impairment of its organ function. Despite advancements in surgical techniques, including modern implants, the reconstruction of extensive chest wall defects, particularly in the aperture regions, remains a challenging task, regardless of etiology.</p> <p>This article discusses the principal challenges associated with the reconstruction of defects in the superior and inferior thoracic apertures in the context of oncological pathology. We present clinical cases involving extensive resection of the thoracic framework in the region of the superior and inferior apertures, with simultaneous reconstruction using super-elastic mesh implants made of nickel-titanium alloy (nitinol).</p></abstract><trans-abstract xml:lang="ru"><p>Для лечения опухолевого поражения грудной стенки часто используется хирургический метод. При таких операциях неизбежно возникает дефект с нарушением каркаса и биомеханики грудной клетки с последующей дисфункцией ее органов. Несмотря на совершенствование хирургической техники, включая использование современных имплантатов, реконструкция обширных дефектов грудной клетки, особенно зоны апертур, независимо от этиологии, остается сложной задачей.</p> <p>В статье представлены основные проблемы замещения дефектов верхней и нижней апертур каркаса грудной клетки при опухолевой патологии. Представлены клинические наблюдения обширных резекцией грудной стенки с одномоментной реконструкцией сверхэластичными петельчатыми модулями из никелида титана.</p></trans-abstract><kwd-group xml:lang="en"><kwd>chest wall tumor</kwd><kwd>superior aperture</kwd><kwd>inferior aperture</kwd><kwd>thoracic cage defect reconstruction</kwd><kwd>super-elastic mesh implant</kwd><kwd>titanium nickelide</kwd><kwd>nitinol</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>опухоль грудной стенки</kwd><kwd>верхняя апертура</kwd><kwd>нижняя апертура</kwd><kwd>реконструкция дефекта каркаса грудной клетки</kwd><kwd>сверхэластичный петельчатый модуль</kwd><kwd>никелида титан</kwd><kwd>нитинол</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование проведено без спонсорской поддержки.</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Состояние онкологической помощи населению России в 2020 году. Под ред. 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