Hinge reinforcement plate for adult pectus excavatum repair

A novel tool for the prevention of intercostal muscle strip

Hyung Joo Park, Jin Yong Jeong, Kwang Taik Kim, Young Ho Choi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Adult pectus excavatum has been a challenge to repair by the conventional Nuss technique. The hinge point, the pivot for pectus bar rotation, is not strong enough to sustain the heavy adult chest. To prevent intercostal muscle strip at the hinge, we developed a hinge reinforcement plate. The hinge plate is a metal strip with a concave cradle designed to support the pectus bar at the hinge points (intercostal space entrance point). One hundred and two adolescent and adult patients (G15 years old) who underwent pectus repair with our modified technique using pectus bars between April 2008 and March 2010 were analyzed. There were 27 patients repaired with the hinge plate (H group) and 75 patients without the hinge plate (N group). The mean age was 19.4 years (15-35 years). The degree of chest wall depression and asymmetry was not different between the groups (P)0.05). There were three cases of bar displacement in the N group (4%), but no bar displacement (0%) in H group. Our results suggest that the hinge plate is effective in preventing an intercostals muscle strip at the hinge points and may play a crucial role in expanding the minimally-invasive technique to adult pectus excavatum.

Original languageEnglish
Pages (from-to)687-691
Number of pages5
JournalInteractive Cardiovascular and Thoracic Surgery
Volume12
Issue number5
DOIs
Publication statusPublished - 2011 May 1

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Intercostal Muscles
Funnel Chest
Thoracic Wall
Thorax
Metals

Keywords

  • Chest wall
  • Hinge point
  • Pectus bar displacement
  • Pectus excavatum

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Hinge reinforcement plate for adult pectus excavatum repair : A novel tool for the prevention of intercostal muscle strip. / Park, Hyung Joo; Jeong, Jin Yong; Kim, Kwang Taik; Choi, Young Ho.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 12, No. 5, 01.05.2011, p. 687-691.

Research output: Contribution to journalArticle

Park, Hyung Joo ; Jeong, Jin Yong ; Kim, Kwang Taik ; Choi, Young Ho. / Hinge reinforcement plate for adult pectus excavatum repair : A novel tool for the prevention of intercostal muscle strip. In: Interactive Cardiovascular and Thoracic Surgery. 2011 ; Vol. 12, No. 5. pp. 687-691.
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