Surgical treatment of funnel chest in children and adolescents using a modified plate

Abstract

Purpose. To study the results of treating patients operated using the plate developed for funnel chest of different degree.
Materials and Methods. The study performed on the basis of analyzing treatment results in 25 children and adolescents with funnel chest operated in the department of children’s traumatology, chest deformities and pathology of the spine of SRITO of the Republic of Uzbekistan Ministry of Health within the period of 2011-2012. The surgery made according to the Nuss method without sternotomy and chondroresection in all patients. Developed in the authors’ clinic plate used to stabilize the sternocostal complex.
Results. The use of the Nuss modified plate provided significantly better results in the immediate and long-term postoperative periods in comparison with using the original plate.
Conclusion. Thoracoplasty by the Nuss method for funnel chest is the most optimal technique of correction in children and adolescents. The additional stabilizers of the original plate allow to achieve its stable fixation thereby reducing the risk of plate overturning and the development of secondary deformities of the chest front wall.