Vertical Expandable Prosthetic Titanium Rib

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VEPTR 2010-01-cut

Vertical Expandable Prosthetic Titanium Rib (VEPTR) is a surgically implanted device designed to treat thoracic insufficiency syndrome (TIS) in children. TIS is a condition characterized by severe deformities of the chest, spine, and ribs that impair respiratory function. The VEPTR device helps to straighten the spine and separate the ribs, allowing the lungs to grow and expand as the child grows.

Overview

The VEPTR device is made of titanium, a material chosen for its strength and biocompatibility. It consists of curved rods that are expandable and can be adjusted as the child grows. The device is anchored to the ribs, spine, or pelvis, depending on the specific needs of the patient.

Indications

VEPTR is indicated for use in children with congenital or acquired thoracic deformities that lead to thoracic insufficiency syndrome. Common conditions treated with VEPTR include, but are not limited to, scoliosis, rib fusion, and defects resulting from spina bifida or Marfan syndrome.

Surgical Procedure

The implantation of a VEPTR device is a complex surgical procedure that requires careful planning and execution. It typically involves the following steps:

1. An incision is made along the side of the chest where the device will be implanted.
2. The surgeon creates space between the ribs or spine where the VEPTR will be placed.
3. The VEPTR device is then anchored to the ribs, spine, or pelvis.
4. The device is expanded to the desired length to correct the deformity.
5. The incision is closed, and the patient is moved to recovery.

Follow-up surgeries are required every 6 to 12 months to adjust the length of the VEPTR as the child grows.

Risks and Complications

As with any surgical procedure, the implantation of a VEPTR device carries risks. Complications may include infection, device malfunction or migration, and injury to surrounding tissues or organs. Long-term risks include the possibility of additional surgeries and the potential for pain or discomfort associated with the device.

Outcomes

Studies have shown that the VEPTR device can significantly improve thoracic volume, leading to better respiratory function and quality of life for children with TIS. However, outcomes vary depending on the individual patient's condition and the complexity of their deformity.

Conclusion

The Vertical Expandable Prosthetic Titanium Rib represents a significant advancement in the treatment of thoracic insufficiency syndrome. By providing a means to support the growth and expansion of the chest cavity, the VEPTR device offers hope to children and families affected by severe thoracic deformities. As with any medical treatment, careful consideration of the risks and benefits is essential to achieving the best possible outcome.