Choice of surgical treatment of pectus excavatum in children based on elasticity criteria of sternocostal complex

Cover Page


Cite item

Abstract

This report presents the results of the operative correction of the pectus excavatum in 45 children aged from 5 to 15 years. In relation to the elasticity degree and age of the patients there was performed correction of the pectus excavatum by method of D. Nuss and in modification with application of a metal plate of the own construction. At normal elasticity (degree I) of the anterior sternocostal complex in 22 (48,9%) patients was executed operative intervention by method of D. Nuss, with good result in 21 (95,4%) and satisfactory in 1 (4,5%) patient. At moderate degree of elasticity (II-degree) in 13 (28,9 %) patients procedure of D. Nuss in modification of our clinic was performed. The correction of the pectus excavatum was carried out by chondrotomy of the deformed ribs and placement of the metal plate under the sternocostal complex. The good results were noted in 11 (84,6 %) patients, satisfactory - in 2 (15,4%). At the hypopastic sternocostal complex (degree III) the deformation was removed by Т-shaped or cross sternotomy with chondroresection of some ribs and then placement of the metal plate of D. Nuss under sternocostal complex. The good results were found in 7 (70 %), satisfactory - in 1 (10 %) and unsatisfactory - in 2 (20 %) patients. Thus, the long-term results of treatment depend on the elasticity of sterno-costal complex and the child’s age.

About the authors

I. Y. Khodjanov

Institute of Traumatology and Orthopaedics, Department of Health of the Republic of Uzbekistan

Author for correspondence.
Email: khodjanov_iskandar@mail.ru
Russian Federation

S. K. Khakimov

Institute of Traumatology and Orthopaedics, Department of Health of the Republic of Uzbekistan

Email: sher-fannel@mail.ru
Russian Federation

K. A. Kasimov

Institute of Traumatology and Orthopaedics, Department of Health of the Republic of Uzbekistan

Email: kasimov_khatam21@mail.ru
Russian Federation

References

  1. Абдрахманов А.Ж., Тажин К.Б., Анашев Т.С. Врожденные деформации грудной клетки и их лечение. Травматология жэне Ортопедия. 2010; (1):3-7
  2. Виноградов А.В. Хирургическое лечение редких врожденных и приобретенных деформаций грудной клетки у детей [дис. ... канд. мед. наук]. М.;1999
  3. Мирзакаримов Б.Х. Оптимизация методов диагностики и коррекции грудной клетки у детей при её воронкообразной деформации [дис. . канд. мед. наук]. Т.; 2010
  4. Разумовский А.Ю., Павлов А.А. Хирургические методы лечения воронкообразной деформации грудной клетки. Детская хирургия. 2005; (3):44-47
  5. Урмонас В.К., Кондрашин Н.И. Воронкообразная грудная клетка. Вильнюс; 1983. 113 с
  6. Nuss D., Kelly R.E. Jr., Croitoru D.P., Katz M.E. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J. Pediatr. Surg. 1998;33(4):545-552.
  7. Hebra A., Swoveland B., Egbert M., Tagge E.P., Georgeson K., Othersen H.B. Jr., Nuss D. Outcome analysis of minimally invasive repair of pectus excavatum: review of 251 cases. J. Pediatr. Surg. 2000;35(2):252-257.

Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies