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LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE

OBJECTIVE: Pectus excavatum is a deformity that affects aesthetics and causes emotional disorders. Surgical correction is well established, but conservative treatment is less common. We investigated the long-term results of using a brace and performing specific physical exercises to treat localized...

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Autores principales: HAJE, DAVI DE PODESTÁ, HAJE, SYDNEY ABRÃO, VOLPON, JOSÉ BATISTA, SILVA, ANA CAROLINA OLIVEIRA DA, LIMA, LEONARDO FERREIRA BRAZ, HUANG, WILSON
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8266278/
https://www.ncbi.nlm.nih.gov/pubmed/34290561
http://dx.doi.org/10.1590/1413-785220212903241550
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author HAJE, DAVI DE PODESTÁ
HAJE, SYDNEY ABRÃO
VOLPON, JOSÉ BATISTA
SILVA, ANA CAROLINA OLIVEIRA DA
LIMA, LEONARDO FERREIRA BRAZ
HUANG, WILSON
author_facet HAJE, DAVI DE PODESTÁ
HAJE, SYDNEY ABRÃO
VOLPON, JOSÉ BATISTA
SILVA, ANA CAROLINA OLIVEIRA DA
LIMA, LEONARDO FERREIRA BRAZ
HUANG, WILSON
author_sort HAJE, DAVI DE PODESTÁ
collection PubMed
description OBJECTIVE: Pectus excavatum is a deformity that affects aesthetics and causes emotional disorders. Surgical correction is well established, but conservative treatment is less common. We investigated the long-term results of using a brace and performing specific physical exercises to treat localized pectus excavatum, a type of deformity in which the depressed area is restricted to the midline region along the nipple line. METHODS: We selected 115 patients (mean age 12.8 years), with a minimum follow-up of 36 months, who were evaluated more than one year after the end of treatment and skeletal maturity. Results were correlated with deformity flexibility, severity, regular use of the device, and performance of specific exercises. The chi-square (χ(2)) and the Cochran-Mantel-Haenszel tests were used for statistical analysis. RESULTS: Treatment was successful in 58% of patients, however, when exercises were performed and the brace was used regularly by patients with flexible deformities, the rate increased to 83% (p = 0.005). Severity and adherence to treatment greatly impacted successful treatment (p = 0.009 and < 0.001, respectively). CONCLUSION: The proposed treatment method was effective for correction or partial correction of the deformity in motivated patients followed up until skeletal maturity, especially when started early in milder and more flexible deformities. Level of Evidence V, Expert opinion.
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spelling pubmed-82662782021-07-20 LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE HAJE, DAVI DE PODESTÁ HAJE, SYDNEY ABRÃO VOLPON, JOSÉ BATISTA SILVA, ANA CAROLINA OLIVEIRA DA LIMA, LEONARDO FERREIRA BRAZ HUANG, WILSON Acta Ortop Bras Original Article OBJECTIVE: Pectus excavatum is a deformity that affects aesthetics and causes emotional disorders. Surgical correction is well established, but conservative treatment is less common. We investigated the long-term results of using a brace and performing specific physical exercises to treat localized pectus excavatum, a type of deformity in which the depressed area is restricted to the midline region along the nipple line. METHODS: We selected 115 patients (mean age 12.8 years), with a minimum follow-up of 36 months, who were evaluated more than one year after the end of treatment and skeletal maturity. Results were correlated with deformity flexibility, severity, regular use of the device, and performance of specific exercises. The chi-square (χ(2)) and the Cochran-Mantel-Haenszel tests were used for statistical analysis. RESULTS: Treatment was successful in 58% of patients, however, when exercises were performed and the brace was used regularly by patients with flexible deformities, the rate increased to 83% (p = 0.005). Severity and adherence to treatment greatly impacted successful treatment (p = 0.009 and < 0.001, respectively). CONCLUSION: The proposed treatment method was effective for correction or partial correction of the deformity in motivated patients followed up until skeletal maturity, especially when started early in milder and more flexible deformities. Level of Evidence V, Expert opinion. ATHA EDITORA 2021 /pmc/articles/PMC8266278/ /pubmed/34290561 http://dx.doi.org/10.1590/1413-785220212903241550 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
HAJE, DAVI DE PODESTÁ
HAJE, SYDNEY ABRÃO
VOLPON, JOSÉ BATISTA
SILVA, ANA CAROLINA OLIVEIRA DA
LIMA, LEONARDO FERREIRA BRAZ
HUANG, WILSON
LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
title LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
title_full LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
title_fullStr LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
title_full_unstemmed LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
title_short LOCALIZED PECTUS EXCAVATUM TREATED WITH BRACE AND EXERCISE: LONG TERM RESULTS OF A BRAZILIAN TECHNIQUE
title_sort localized pectus excavatum treated with brace and exercise: long term results of a brazilian technique
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8266278/
https://www.ncbi.nlm.nih.gov/pubmed/34290561
http://dx.doi.org/10.1590/1413-785220212903241550
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