Chicken Breast Orthopedics

The sternum forward bulge is called the chicken breast, which is a common thoracic deformity. It is generally considered to be genetically related to the funnel chest deformity. Most people think that it is caused by excessive growth of ribs and costal cartilage. The sternum deformity is secondary to rib deformity. of. Chest wall malformations affecting the respiratory cycle, such as funnel chest, chicken breast, chest muscle split, etc., in addition to the mental burden and personality effects caused by deformity, the damage of the deformity itself to respiratory and circulatory function also needs surgical correction. The age of surgery is appropriate for preschool age. Treating diseases: chicken breast Indication Orthopaedics can be performed in patients with obvious deformities. The age of surgery is appropriate for preschool age. Contraindications The patient is too old and should be filled with poor general condition. Preoperative preparation 1. Control respiratory infections. 2. Supportive therapy should be given if the nutritional status is poor. Surgical procedure 1. Incision: The median incision of the sternum. 2. Separate the subcutaneous tissue and the pectoralis major muscle, and remove the deformed costal cartilage on both sides. 3. sternal orthopedics Type I chicken breast: (1) The long lower sternum is removed above the xiphoid process, and the transverse wedge-shaped osteotomy of the anterior plate opposite rib space is made at the abnormal curvature of the sternum below the sternal angle, so that the sternum of the protrusion is straightened, and the lower end of the sternum is again with the sword. Suddenly fixed with stainless steel wire: (2) The pectoralis major muscles on both sides are sutured in front of the sternum, and the rectus abdominis is sutured in front of the sternum. The subcutaneous tissue and skin are sutured layer by layer. Bavitch's lateral sewn cartilage method also helps stabilize the sternum after orthopedics. Type II chicken breast: sternal orthopedics should be transversely wedged osteotomy in the third intercostal space of the sternum and 3 cm above the xiphoid, which makes the sternal "Z" deformity straight. complication Pneumothorax, difficulty breathing.