External longitudinal titanium support for the repair of complex pectus excavatum in adults

Several techniques exist for the repair of complex pectus excavatum. The placement of retrosternal metal bars improves the results by reducing the recurrence rate, but entails several possible risks, complications and disadvantages. A new method, specifically conceived for the repair of severe, asym...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2012-12, Vol.42 (6), p.e166-e168
Main Authors: Puma, Francesco, Vannucci, Jacopo, Santoprete, Stefano
Format: Article
Language:English
Subjects:
Adult
Bone Screws
External Fixators
Funnel Chest - surgery
Humans
Orthopedic Procedures - instrumentation
Orthopedic Procedures - methods
Osteotomy
Sternum - surgery
Titanium
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Summary:Several techniques exist for the repair of complex pectus excavatum. The placement of retrosternal metal bars improves the results by reducing the recurrence rate, but entails several possible risks, complications and disadvantages. A new method, specifically conceived for the repair of severe, asymmetric forms in adult patients, is reported. The corrected bone is fixed in the proper position by two, patient-customized, titanium struts, externally screwed to the manubrium and sternal body. Any retrosternal bar is thus avoided, reducing possible complications, without hampering the chest wall dynamic. In this particularly difficult issue, this technique provides long-term good functional, mechanical and cosmetic results and does not entail a second surgery for struts removal.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezs485