초록접수 현황
| 14F-169 | 구연 발표 |
The Bridge Technique for Pectus Bar Fixation: A Method to Make the Bar Un-rotatable
박형주, 김경수, 문영규, 김도연, 현관용, 최국빈, 박재길, 성숙환
가톨릭대학교 의과대학 서울성모병원 흉부외과학교실
Background : 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 two 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 to 38 years). The difference between POD5 and POM4 were 0.23º and 0.35º for the upper and lower bars (p=0.602; 0.338), respectively. Bar position was virtually unchanged during the follow-up, and there was no bar dislocation or reoperation.
Conclusion : A “Bridge technique,” designed to connect two parallel bars using plates and screws, was demonstrated as a method to avoid pectus bar displacement. This approach was easy to implement without using suture fixation or invasive devices.
Figure 1. Bridge fixation technique connecting parallel bars with metal plates and screws.
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 two 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 to 38 years). The difference between POD5 and POM4 were 0.23º and 0.35º for the upper and lower bars (p=0.602; 0.338), respectively. Bar position was virtually unchanged during the follow-up, and there was no bar dislocation or reoperation.
Conclusion : A “Bridge technique,” designed to connect two parallel bars using plates and screws, was demonstrated as a method to avoid pectus bar displacement. This approach was easy to implement without using suture fixation or invasive devices.
Figure 1. Bridge fixation technique connecting parallel bars with metal plates and screws.
책임저자: 박형주
가톨릭대학교 의과대학 서울성모병원 흉부외과학교실
연락처 : 박형주, Tel: 02-2258-2858 , E-mail : hyjpark@catholic.ac.kr
