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The bridge technique for pectus bar fixation: a method to make the bar un-rotatable

Authors
 Hyung Joo Park  ;  Kyung Soo Kim  ;  Sungsoo Lee  ;  Young Kyu Moon 
Citation
 JOURNAL OF PEDIATRIC SURGERY, Vol.50(8) : 1320-1322, 2015 
Journal Title
 JOURNAL OF PEDIATRIC SURGERY 
ISSN
 0022-3468 
Issue Date
2015
MeSH
Adolescent ; Adult ; Bone Plates ; Bone Screws ; Child ; Female ; Follow-Up Studies ; Funnel Chest/surgery* ; Humans ; Male ; Orthopedic Procedures/instrumentation ; Orthopedic Procedures/methods* ; Sternum/surgery ; Treatment Outcome ; Young Adult
Keywords
Chest wall ; Minimally invasive surgery ; Pectus bar stabilization ; Pectus excavatum
Abstract
PURPOSE: Pectus bar rotation is a major challenge in pectus repair. However, to date, no satisfactory technique to completely eliminate bar displacement has been introduced. Here, we propose a bar fixation technique using a bridge that makes the bar unmovable. The purpose of this study was to determine the efficacy of this bridge technique. METHODS: A total of 80 patients underwent pectus bar repair of pectus excavatum with the bridge technique from July 2013 to July 2014. The technique involved connecting 2 parallel bars using plate-screws at the ends of the bars. To determine bar position change, the angles between the sternum and pectus bars were measured on postoperative day 5 (POD5) and 4 months (POM4) and compared. RESULTS: The mean patient age was 17.5 years (range, 6-38 years). The mean difference between POD5 and POM4 were 0.23° (P=.602) and 0.35° (P=.338) for the upper and lower bars, respectively. Bar position was virtually unchanged during the follow-up, and there was no bar dislocation or reoperation. CONCLUSIONS: A "bridge technique" designed to connect 2 parallel bars using plates and screws was demonstrated as a method to avoid pectus bar displacement. This approach was easy to implement without using sutures or invasive devices.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022346814007969
DOI
10.1016/j.jpedsurg.2014.12.001
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Sung Soo(이성수) ORCID logo https://orcid.org/0000-0001-8998-9510
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139144
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