pectus excavatum orthopedics

Surgery is ideal when 3 to 6 years old. Those with mild and asymptomatic deformities may not be operated. Treating the disease: funnel chest chicken breast Indication Surgery is ideal when 3 to 6 years old. Those with mild and asymptomatic deformities may not be operated. 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. After cutting the skin and subcutaneous tissue, separate it from the sides of the incision. The pectoralis major muscle attached to the sternum is cut to reveal the deformed costal cartilage to the junction of the osteochondral. 3. Peel the perichondrium and remove all the costal cartilage on both sides. 4. Remove the xiphoid process. 5. Use the fingers to bluntly separate the posterior sternal space, cut the intercostal tissue and perichondrium on both sides of the sternum, to avoid damage to the intercostal vessels, the thoracic vessels and the mediastinal pleura. 6. Below the plane of the most excised costal cartilage, the wire saw is placed behind the sternum, and the transverse section is osteotomy until the lower end of the sternum can be turned up. A small piece of bone is removed at one end of the rib, implanted at the osteotomy and the sternal stump is reattached. 7. Use a Kirschner wire to pass through the sternum and fix it on the 5th rib on both sides. 8. Separate the pectoralis major muscles on both sides and fix them on the midline of the sternum, and place the posterior sternal drainage tube. The subcutaneous tissue and skin are sutured in sequence. complication Respiratory infections and atelectasis.