Treatment of funnel chest in children

Стальмахович, В. Н.; Николаевич, Стальмахович Виктор; Дуденков, В. В.; Владимирович, Дуденков Виктор; Dyukov, A. A.; Анатольевич, Дюков Андрей

doi:10.17816/ptors5317-24

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Разом із тим відомі різні ускладнення і наслідки, що виникають під час використання цієї методики [10,22]. А саме, часто відмічається деформація або міграція пластини, спостерігається недостатня корекція лійкоподібної деформації або рецидив.…”

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Biomechanical modeling and problematic issues of surgical correction of congenital funnel chest deformity

Dihtiar¹,

Kaminska²

2021

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Congenital funnel chest deformity (CFCD) is noted in 0.6–2.3% of the population and accounts for 90% of all congenital chest deformities. Nuss thoracoplasty is the most common method for treating CFCD, which is considered a minimally invasive technology and provides a quick cosmetic effect. Purpose is to search for models of CFCD and its surgical correction in order to create a technique that is as close to reality as possible, which will make it possible to optimally plan and rationally carry out the forthcoming operation. Analysis of literature sources showed that, on the one hand, the construction of simplified models of the chest allows quick research, but these simplifications do not allow for an objective assessment of the influence and interaction of various elements of the complex biomechanical system «sternum–rib–spine». On the other hand, complex models are more reliable, but hardly available for implementation due to their ultra-high manufacturability and cost. In addition, in studies of stress-strain state on models of the chest, the presence of the spinal column or the interaction of the ribs with the vertebrae has been insufficiently studied. When in the works on modeling road traffic injuries this is justified due to the support of the spine on the seat, then when modeling the correction of chest deformities, the lack of consideration of the mobility of the articular joints and the flexibility of the spinal column can lead to incorrect and false results. It is promising to create a technique for modeling CFCD and its surgical correction in conditions close to reality. This will make it possible to develop a rational modification of thoracoplasty based on the D. Nuss operation under the condition of one–stage full–fledged stable correction and minimal biomechanical loads in the «sternum-rib-spine» system. No conflicts of interest was declared by the authors. Key words: funnel chest deformity, thoracoplasty, biomechanics.

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Biomechanical modeling and problematic issues of surgical correction of congenital funnel chest deformity

Dihtiar¹,

Kaminska²

2021

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“…According to the severity of the impairment, one out of every 11 patients with a hip disorder eventually is disabled, whereas in cases of other diseases of the musculoskeletal system, only one out of every 100 patients becomes handicapped. (1) LCPD is an osteochondropathy, with the lesions of the proximal femur and hip joint caused by disruption of the blood supply to the cartilage, resulting in necrosis of the femoral head. (2) According to Russian state statistics, the incidence of LCPD among the hip joint diseases within the pediatric population is 15%.…”

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The Imaging of Legg-Calve-Perthes Disease

Лежнев¹,

Sholokhova²,

Ганиева³

et al. 2019

IJBM

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Diagnosis of hip joint pathology remains a serious problem in childhood and adolescence. A wide range of pathologiesincluding dysplastic, dystrophic, inflammatory, oncological and post-traumatic diseases of the musculoskeletal system-leads to the advancement of imaging methods and techniques. Legg-Calve-Perthes disease (LCPD) is a common cause of hip pain in children that may be initially clinically and radiographically difficult to diagnose Radiography of the pelvis in two views (anteroposterior and Lauenstein) is the main method of diagnosing aseptic necrosis. Destructive changes of the femoral head and neck of the femur are clearly determined. However, the presence of X-ray negative patterns at the first stage of the disease and the impossibility of visualizing all the anatomical structures induce us to improve the diagnostic algorithm of this difficult pathological process.

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Pectus excavatum in children

Motorenko

Vinnik

2022

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Objective. To study the effect of the degree of pectus excavatum in children on the severity of clinical manifestations, as well as the function of the chest organs before and after surgical treatment.Materials and methods. The study included 36 patients with II-III degree pectus excavatum undergoing surgical treatment and examination at the Orthopedics and Traumatology Department of the Gomel Regional Children’s Clinical Hospital from January 2019 to September 2021. All the patients were examined in clinical setting with laboratory and instrumental methods, were performed electrocardiography, echocardiography, Holter monitoring, the study of the function of external respiration, computed tomography of the chest.Results. As a result of the conducted studies, it has been found that the degree of thoracic deformity in children affects the severity of clinical and functional changes in the chest organs.Conclusion. The performed study has showed that the surgical treatment of pectus excavatum contributes to the elimination of functional disorders in the work of the heart and respiratory organs.

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Treatment of funnel chest in children

Cited by 3 publications

References 8 publications

Biomechanical modeling and problematic issues of surgical correction of congenital funnel chest deformity

Biomechanical modeling and problematic issues of surgical correction of congenital funnel chest deformity

The Imaging of Legg-Calve-Perthes Disease

Pectus excavatum in children

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