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Volume 14
Issue 1
Online publication date 2013-04-25
Title Operative correction of pectus excavatum deformity in children by the elasticity criteria of the sternocostal complex
Author Iskandar Khodjanov, Sherali Khakimov, Khatam Kasymov
Abstract This report presents the results of the operative correction of the pectus excavatum deformity in 54 children aged from 5 to 15 years. In relation to the elasticity degree and age of the patient there was performed  of the pectus excavatum deformity by method of  D. Nuss in modification with application of a metal plate of the own construction. At normal elasticity (degree 1) of the anterior sternocostal complex in 27 (50.0%) patients is executed operative intervention by method of D. Nuss, with good result in 26 (96.3%) and satisfactory in 1 (3.7%) patient.  At moderate degree of elasticity (II-degree) in 15 (27.8%) patients there was performed procedure of D. Nuss in modification of out clinic. The correction of the pectus excavatum deformity 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 13 (86.7%) patients, satisfactory - in 2 (13.3%). At the hypoplastic 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 9 (75%), satisfactory in 1 (8.3%) and unsatisfactory in 2 (16.7%) patients. Thus, the less elasticity of the sternocostal complex and older age of child, there is more traumatic operative intervention and worse long-term results of treatment. 
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Keywords Children, thorax, pectus excavatum deformity, elasticity, thoracoplasty
Pages 62-70
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