M.Zh. AZIZOV, I.Yu. KHODZHANOV, Kh.A. KASYMOV, Sh.K. KHAKIMOV, Kh.Sh. SHOMATOV, G.D. BAYIMBETOV

Scientific and Research Institute of Traumatology and Orthopedics of the Ministry of Health Care of the Republic of Uzbekistan, 78 Tarrakiot Str., Tashkent, the Republic of Uzbekistan, 700048 

Azizov M.Zh. ― D. Med. Sc., Professor, Director of the Institute, tel. +9 (9871)-233-10-30, e-mail: [email protected]

Khodzhanov I.Yu. ― D. Med. Sc., Professor, Head of the Department of Pediatric Traumatology, tel. +9 (9871)-233-60-16, e-mail: [email protected]

Kasymov Kh.A. ― junior researcher of the Department of Pediatric Traumatology, tel. +9 (9871)-233-60-16, e-mail: [email protected]

Khakimov Sh.K. ― junior researcher, tel. +9 (9871)-233-60-16, e-mail: [email protected]

Shomatov Kh.Sh. ― resident doctor of the Department of Pediatric Traumatology, tel. +9 (9871)-233-60-16, e-mail: [email protected]

Bayimbetov G.D. ― senior researcher of the Department of Pediatric Traumatology, tel. +9 (9871)-233-60-16. e-mail: [email protected]

The article presents the results of surgical treatment of patients with carinate chest distortion. In total, between 2008 and 2015 were operated 34 patients (29 boys and 5 girls) between the ages of 8 to 17 years. All patients were performed spirometry, electrocardiography, multilayer multislice computed tomography (MSCT), and echocardioscopy (EchoCS) in the preoperative period. Among laboratory studies there were: general blood analysis, immunoassay, as well as consultation of a genetic scientist concerning genetic diseases. The plate was installed in 34 patients. In all cases, we have traced a good cosmetic result. In five cases an additional fine tissue sculpting was made in order to achieve a good cosmetic effect. In three cases was made unilateral resection of the ribs due to the asymmetric type strain. It was demonstrated that fixation after costectomy and sternotomy is required for creation of optimal conditions for consolidation of bone fragments. The volume of costectomy should be individualized depending on the type and volume of deformation.

Key words: carinate chest distortion, thoracoplastics, metal plate.

 

 

REFERENCES

1. Kondrashin N.I. Anomalies of the chest. Ortopediya, travmatologiya i protezirovanie, 1984, no. 4, pp. 62-57 (in Russ.).
2. Bairov G.A., Fokin A. Keeled chest deformation. Vestnik khirurgii im. I.I. Grekova, 1983, no. 2, pp. 98-93 (in Russ.).
3. Razumovskiy A.Yu., Savchuk M.O., Pavlov A.A. Keeled chest deformation. Detskaya khirurgiya, 2009, no. 1, pp. 45-50 (in Russ.).
4. Malakhov O.A., Rudakov S.S., Likhotay K.A. The defects of the chest and treatment. Vestnik travmatologii i ortopedii im. N.N. Priorova, 2002, no. 4, pp. 63-67 (in Russ.).
5. Fishchenko V.Ya., Sokolyuk I.A., Tofan et al. New ways of reconstruction of deformities of the chest. X s»ezd travmatologov ortopedov Ukrainy. Tezis. Dokl. Odessa 1987 g. Part 2, pp. 86-87 (in Russ.).
6. Dmitriev M.L., Bairov G.A., Ternovoy K.S., Prokopova L.V. Kostno-plasticheskie operatsii u detey [Osteoplastic surgery in children]. Kiev, 1974.
7. Zhila N.G. Khirurgicheskaya modeliruyushchaya korrektsiya vrozhdennykh i priobretennykh deformatsiy grudnoy kletki u detey i podrostkov: dis. … d.m.n [Surgical correction of the modeling of congenital and acquired deformities of the chest in children and adolescents. Dis. Dr med. sciences]. Irkutsk, 2000.
8. Davis J.T., Weinstein S. Ann. Thorac. Surg, 2004, vol. 78, pp. 421-426.
9. Haej S.A., Brown J.R. J. Pediatr. Orthop, 1992, vol. 12, pp. 795-800.
10. Robicsek F. Chest Surg. Clin. Nam, 2000, vol. 10, pp. 357-376.