Abstract
Failed regeneration of costal cartilage after open repair of pectus chest wall deformities
can result in a floating sternum. A floating sternum can be repaired by insertion
of a rib graft between the rib and sternum, and stabilization with a metal strut.
The metal implant is usually removed with a second operation. We report use of bioabsorbable
struts to stabilize rib grafts during repair of a floating sternum in an 18-year-old
male with a failed open repair of pectus carinatum. He had an uncomplicated peri-operative
course. One year later, the sternum had a normal appearance and was sturdy. A second
operation for removal of hardware was not necessary.
Key words
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References
- Pectus excavatum repair: experience with standard and minimal invasive techniques.J Pediatr Surg. 2001; 36: 324-328
- Management of a floating sternum after repair of pectus excavatum.J Pediatr Surg. 2001; 36: 159-164
- A 10-year review of a minimally invasive technique for the correction of pectus excavatum.J Pediatr Surg. 1998; 33: 545-552
- Nonoperative management of pectus carinatum.J Pediatr Surg. 2006; 41: 40-45
- The Calgary protocol for bracing of pectus carinatum: a preliminary report.J Pediatr Surg. 2006; 41: 923-926
- Nonoperative correction of pectus carinatum with orthotic bracing.J Laparoendosc Adv Surg Tech A. 2006; 16: 164-167
- Dynamic compression system for the correction of pectus carinatum.Semin Pediatr Surg. 2008; 17: 194-200
- Recurrent chest wall anomalies.Semin Pediatr Surg. 2003; 12: 94-99
- How not to do it: restrictive thoracic dystrophy after pectus excavatum repair.Interact Cardiovasc Thorac Surg. 2004; 3: 566-568
- Preliminary results of biodgradable osteosythesis in craniofacial surgery in the child.Chir Pediatr. 1989; 30: 284-287
- Bioabsorbable plates and screws in pediatric craniofacial surgery: a review of 22 cases.J Craniofac Surg. 1997; 8: 97-99
- Role of resorbable plates and screws in craniofacial surgery.J Craniofac Surg. 1997; 8: 129-134
- Surgical outcomes using bioabsorbable plating systems in pediatric craniofacial surgery.J Craniofac Surg. 1998; 9: 441-444
- Use of resorbable plates and screws in pediatric facial fractures.J Oral Maxillofac Surg. 2005; 63: 385-391
- Strength analysis of 6 resorbable implant systems: does heating affect the stress–strain curve?.J Oral Maxillofac Surg. 2008; 66: 2493-2497
http:/www.lorenzsurgical.com/.
- Bioabsorbable struts made from pol-L-lactide and their application for treatment of chest deformity.J Thorac Cardiovasc Surg. 1994; 108: 162-168
- Treatment of pectus excavatum with bioabsorbable polylactide plates: preliminary results.J Pediatr Surg. 2002; 37: 1281-1286
- Ten-year experience with the muscle split technique, bioabsorbable plates, and postoperative bracing for correction of pectus carinatum: the Innsbruck protocol.J Thorac Cardiovasc Surg. 2011; 141: 1403-1409
- Using a bioabsorbable copolymer plate for chest wall reconstruction.J Pediatr Surg. 2004; 39: 626-628
- Absorbable stabilisation of the bar in minimally invasive repair of pectus excavatum.Eur J Pediatr Surg. 2008; 18: 407-409
http://www.accessdata.fda.gov/scrIpts/cdrh/cfdocs/cfres/res.cfm?id=80924.
Article info
Publication history
Accepted:
August 27,
2012
Received in revised form:
August 24,
2012
Received:
May 25,
2012
Identification
Copyright
Published by Elsevier Inc.
