Crossing Osteotomies and Rib Transposition for Coverage of a Moderate-Size Bony Thoracic Defect
Bibliographic record
Abstract
Full-thickness defects of the chest wall are managed based on the principle of restoring structure and function. Characteristics of the lesion, such as size, location and etiology, as well as its resultant effects on pulmonary mechanics govern the surgical approach to reconstruction. Defects of intermediate size, however, occupy a gray area in thoracic wall reconstruction, with no clear consensus on management. The authors describe a novel method of providing bony coverage for a moderate-size thoracic wall defect in a patient with a complex intrathoracic, extrapleural hernia by crossing osteotomies in addition to transposition and fixation of ribs. Osseous rib Z-plasty is a novel surgical technique that may be considered to be a valid alternative for reconstruction of selected moderate-size, full-thickness defects of the lateral rib cage. Knowledge of this technique is recommended for thoracic, trauma and plastic surgeons who are likely to encounter and manage such defects.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".