A comparative study of pericostal and submuscular bar fixation technique in the Nuss procedure

Koo Kim Hyun, Ho Choi Young, Hyun Cho Yang, Min Ryu Se, Young Sang Sohn, Jei Kim Hark

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6 Citations (Scopus)


We evaluated the safety and stability of the less-invasive submuscular bar fixation method in the Nuss procedure. One hundred and thirteen patients undergoing the Nuss procedure were divided into three groups according to the bar fixation technique employed. Group 1 consisted of 25 patients who had undergone bilateral pericostal bar fixation, group 2 consisted of 39 patients with unilateral pericostal one, and group 3 included 49 patients with bilateral submuscular one. The patients' age ranged from 2 to 25 yr, with an average of 7.2 ± 5.67 yr. Bar dislocation occurred in 1 patient (4%) in Group 1, 2 patients (5.1%) in Group 2, and 1 patient (2.0%) in Group 3 (p=0.46). Hemothorax was noted in 2 patients (8%) in Group 1, 2 (5.1%) in Group 2, and none (0%) in Group 3 (Group 1 vs. Group 3, p=0.028). The mean operation time was shorter in Group 3 than Group 1 (50.1 ± 21.00 in Group 3 vs. 67.2 ± 33.07 min in Group 1, p=0.041). The submuscular bar fixation results in a decrease in technique-related complications and operation time and is associated with favorable results with regard to the prevention of bar dislodgement.

Original languageEnglish
Pages (from-to)254-257
Number of pages4
JournalJournal of Korean medical science
Issue number2
Publication statusPublished - 2007 Apr


  • Funnel chest
  • Hemothorax
  • Pneumothorax
  • Postoperative complication
  • Reoperation

ASJC Scopus subject areas

  • Medicine(all)


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