METHOD OF THE COSERVATIVE CORRECTION OF PECTUS CARINATUM IN GIRLS OF PUBERTAL AND POST PUBERTAL PERIODS OF LIFE
Keywords:
pectus carinatum, girls in puberty and post-puberty, mammary gland asymmetry, compression orthoses.Abstract
Pectus carinatum is a medical and social problem. A pronounced cosmetic defect in PKD leads to serious psychological discomfort in adolescence, especially in girls. Patients and their parents prefer conservative treatment methods. In the orthopedic department of the ODMMC from 2016 to 2023, 71 girls aged 11 to 20 years with PKD of I-III degree were under observation. The study presents a new method for correcting PKD with an orthosis in girls in the pubertal and postpubertal periods of life. Correction of PKD was performed using a compression orthosis in the form of a corset with a chest plate. The anterior chest plate corresponds to the geometric shape of the protruding part of the mammary glands. The treatment was carried out in 3 stages. At the first stage, wearing the orthosis is carried out with an initial compressive force of 5-6 kg for about 10-14 days under the supervision of the attending physician. At the second stage, the compressive force of the orthosis is added, the compression lasts for 20-60 days. At the third stage, the orthosis should touch the chest without compression and provide a compressive force only during inhalation. The third stage lasts 7-10 months. Correction of the keel-shaped chest wall in girls in the pubertal and post-pubertal periods with a compression orthosis provides satisfactory correction of the deformity in 99.1% of cases for female patients aged 11 to 20 years.
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