Surgical repair of pectus carinatum

Pectus carinatum represents a variety of protrusion deformities of the anterior chest wall. Although various non-operative methods of treatment have been employed, surgery has been widely accepted as the only effective method for the correction of pectus carinatum. We evaluate our 14 year single cen...

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Bibliographic Details
Published inInternational surgery Vol. 84; no. 4; p. 326
Main Authors Saxena, A K, Willital, G H
Format Journal Article
LanguageEnglish
Published Italy 01.10.1999
Subjects
Adolescent
Child
Female
Humans
Internal Fixators
Male
Reconstructive Surgical Procedures - instrumentation
Reconstructive Surgical Procedures - statistics & numerical data
Ribs - abnormalities
Ribs - surgery
Sternum - abnormalities
Sternum - surgery
Thoracic Surgical Procedures - methods
Thoracic Surgical Procedures - statistics & numerical data
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Summary:Pectus carinatum represents a variety of protrusion deformities of the anterior chest wall. Although various non-operative methods of treatment have been employed, surgery has been widely accepted as the only effective method for the correction of pectus carinatum. We evaluate our 14 year single center experience of pectus carinatum correction on 111 patients using a uniform technique of internal stabilization employing stainless steel struts. Operative correction required double bilateral chondrotomy parasternally and at points of transition to normal ribs, followed by detorsion of the sternum, retrosternal mobilization and correction of the everted sternum as well as of the everted and inverted ribs. The mobilized sternum after incomplete wedge osteotomy was finally stabilized by one transternal and two bilateral parasternal metal struts. The corrections were completed with successful repair in 109 patients (98.2%). Major recurrences in 2 patients (1.8%) were corrected while mild recurrence were observed in 3 patients (2.7%).
ISSN:0020-8868