Non-surgical treatment of pectus carinatum with the FMF® Dynamic Compressor System

Marcelo Martinez-Ferro, Gaston Bellia Munzon, Carlos Fraire, Constanza Abdenur, Emilio Chinni, Bruno Strappa, Laura Ardigo, Marcelo Martinez-Ferro, Gaston Bellia Munzon, Carlos Fraire, Constanza Abdenur, Emilio Chinni, Bruno Strappa, Laura Ardigo

Abstract

Pectus carinatum is a chest wall deformity, sometimes associated with physical signs and symptoms, but always associated to significant psychological distress. Surgical correction used to be the only solution, and was therefore only indicated for the most severe cases. Non-surgical approaches have been developed and improved during the last 15-20 years. A paradigm shift occured when the medical community realized that, despite the wall deformity, the chest wall was not completely rigid, but flexible and capable of remodeling. Several bracing devices and protocols are available as of today. This article will focus specifically in the FMF® Dynamic Compressor System (DCS), which was developed in Argentina in 2001 and is currently used worldwide.

Keywords: FMF; Pectus carinatum; brace; chest remodelling; non-operative treatment.

Conflict of interest statement

Conflicts of Interest: Bruno Strappa is a full time employee at Pampamed S.R.L. Marcelo Martinez-Ferro is also owner of Pampamed S.R.L, an argentine company holding the license for commercialization of the FMF® Dynamic Compressor System. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
FMF® Dynamic Compressor System: aluminum brace with cushioned interior lining, side lock, adjustable shoulder straps and central compression plate.
Figure 2
Figure 2
Briefcase containing the physician tool-kit (contents described in text).
Figure 3
Figure 3
Pressure measuring device (PMD).
Figure 4
Figure 4
How to measure the pressure of correction (PC) (14). Available online: http://www.asvide.com/articles/916
Figure 5
Figure 5
How to take the measurements of the thorax (15). Available online: http://www.asvide.com/articles/919
Figure 6
Figure 6
Contoured pad to maximize comfort (used in sharp-edged pectus carinatum) and compression plate showing the holes for docking the PMD. PMD, pressure measuring device.
Figure 7
Figure 7
How to take the view from above baseline picture of pectus carinatum patients.
Figure 8
Figure 8
Fitting the FMF® Dynamic Compressor System (16). Available online: http://www.asvide.com/articles/924
Figure 9
Figure 9
FMF® Dynamic Compressor System: the four sets of holes for different adjustable fitting positions of the brace are shown.
Figure 10
Figure 10
Measurement of the PT (17). PT, pressure of treatment. Available online: http://www.asvide.com/articles/925
Figure 11
Figure 11
Adjustment of the position of the compression plate (18). Available online: http://www.asvide.com/articles/926
Figure 12
Figure 12
Lateral expansion of the thorax when pectus carinatum is manually corrected (19). Available online: http://www.asvide.com/articles/927

Source: PubMed

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