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Outcomes Following Dynamic Compression Bracing for Pectus Carinatum.
Charlene Dekonenko1, Robert M Dorman1, Amy Pierce1
1Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri.
Summary
Dynamic compression bracing (DCB) effectively corrects pectus carinatum (PC) in compliant patients. Most patients reported high satisfaction with the bracing outcomes, highlighting appearance as a key motivator.
Area of Science:
- Pediatric Orthopedics
- Thoracic Surgery
- Biomedical Engineering
Background:
- Pectus carinatum (PC) significantly impacts children's psychosocial well-being, often irrespective of physical symptoms.
- Nonoperative orthotic bracing presents an effective treatment for PC correction.
- Dynamic compression bracing (DCB) is a key nonoperative approach for PC.
Purpose of the Study:
- To evaluate the effectiveness of dynamic compression bracing (DCB) in correcting pectus carinatum (PC).
- To assess patient satisfaction with DCB treatment.
- To identify factors influencing compliance and treatment duration.
Main Methods:
- Prospective analysis of institutional data for PC patients treated with DCB (July 2011-June 2018).
- Patients entering retainer mode (<1 psi correction pressure) were analyzed.
- Telephone surveys assessed patient experience and satisfaction (1-10 scale).
Main Results:
- Of 460 PC patients, 144 reached retainer mode, with a median time of 5.5 months.
- Compliance significantly reduced time to retainer mode (3.5 vs. 10 months, P<.001).
- High patient satisfaction reported, with 94% rating outcomes ≥8/10; appearance was the primary compliance motivator.
Conclusions:
- Dynamic compression bracing (DCB) is an effective treatment for pectus carinatum (PC) in compliant patients.
- High patient satisfaction underscores the efficacy and acceptability of DCB.
- Addressing patient comfort and focusing on aesthetic outcomes can improve brace compliance.
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