{"id":"https://openalex.org/W7224460642","doi":"https://doi.org/10.3389/fsurg.2026.1968085","title":"Short pectus bars with ventral hinge-point stabilization: clinical outcomes in 160 patients","display_name":"Short pectus bars with ventral hinge-point stabilization: clinical outcomes in 160 patients","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224460642","doi":"https://doi.org/10.3389/fsurg.2026.1968085"},"language":"en","primary_location":{"id":"doi:10.3389/fsurg.2026.1968085","doi":"https://doi.org/10.3389/fsurg.2026.1968085","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1968085","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1968085/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1968085/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026999000","display_name":"Anja Christina Weinhandl","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76134821","display_name":"Medical University of Vienna","ror":"https://ror.org/05n3x4p02","country_code":"AT","type":"education","lineage":["https://openalex.org/I76134821"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Anja C. Weinhandl","raw_affiliation_strings":["Department of Pediatric and Adolescent Surgery, Medical University of Vienna"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric and Adolescent Surgery, Medical University of Vienna","institution_ids":["https://openalex.org/I76134821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159791502","display_name":"Werner Schmid","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76134821","display_name":"Medical University of Vienna","ror":"https://ror.org/05n3x4p02","country_code":"AT","type":"education","lineage":["https://openalex.org/I76134821"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Werner Schmid","raw_affiliation_strings":["Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Clinical Division of Pain Medicine, Medical University of Vienna"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Clinical Division of Pain Medicine, Medical University of Vienna","institution_ids":["https://openalex.org/I76134821"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016156379","display_name":"Winfried Rebhandl","orcid":"https://orcid.org/0000-0002-9177-3564","observed_orcids":["https://orcid.org/0000-0002-9177-3564"]},"institutions":[{"id":"https://openalex.org/I76134821","display_name":"Medical University of Vienna","ror":"https://ror.org/05n3x4p02","country_code":"AT","type":"education","lineage":["https://openalex.org/I76134821"]}],"countries":["AT"],"is_corresponding":true,"raw_author_name":"Winfried Rebhandl","raw_affiliation_strings":["Department of Pediatric and Adolescent Surgery, Medical University of Vienna"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric and Adolescent Surgery, Medical University of Vienna","institution_ids":["https://openalex.org/I76134821"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5016156379"],"corresponding_institution_ids":["https://openalex.org/I76134821"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8940374,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12830","display_name":"Pectus Deformity Diagnosis and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12830","display_name":"Pectus Deformity Diagnosis and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pectus-excavatum","display_name":"pectus excavatum","score":0.9959999918937683},{"id":"https://openalex.org/keywords/minimally-invasive-pectus-repair","display_name":"minimally invasive pectus repair","score":0.8389999866485596},{"id":"https://openalex.org/keywords/nuss-bar","display_name":"Nuss bar","score":0.847000002861023},{"id":"https://openalex.org/keywords/bar-migration","display_name":"bar migration","score":0.8899999856948853},{"id":"https://openalex.org/keywords/pediatric-and-adolescent-patients","display_name":"pediatric and adolescent patients","score":0.5600000023841858},{"id":"https://openalex.org/keywords/adult-patients","display_name":"adult patients","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.900600016117096},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5719000101089478},{"id":"https://openalex.org/C188721877","wikidata":"https://www.wikidata.org/wiki/Q103510","display_name":"Bar (unit)","level":2,"score":0.5314000248908997},{"id":"https://openalex.org/C2776193999","wikidata":"https://www.wikidata.org/wiki/Q431168","display_name":"Pectus excavatum","level":2,"score":0.5048999786376953},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4659999907016754},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.34850001335144043},{"id":"https://openalex.org/C170700871","wikidata":"https://www.wikidata.org/wiki/Q193378","display_name":"Biomechanics","level":2,"score":0.29820001125335693},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.29809999465942383},{"id":"https://openalex.org/C2778858694","wikidata":"https://www.wikidata.org/wiki/Q1857461","display_name":"Nuss procedure","level":3,"score":0.29660001397132874},{"id":"https://openalex.org/C2993333090","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Corrective surgery","level":2,"score":0.26969999074935913},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.25429999828338623}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fsurg.2026.1968085","doi":"https://doi.org/10.3389/fsurg.2026.1968085","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1968085","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1968085/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:940d2189d64a46b6b14c32ef16cf32fb","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/940d2189d64a46b6b14c32ef16cf32fb","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Surgery, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fsurg.2026.1968085","doi":"https://doi.org/10.3389/fsurg.2026.1968085","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1968085","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1968085/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224460642.pdf","grobid_xml":"https://content.openalex.org/works/W7224460642.grobid-xml"},"referenced_works_count":40,"referenced_works":["https://openalex.org/W1971077470","https://openalex.org/W1982981397","https://openalex.org/W2004545499","https://openalex.org/W2021365726","https://openalex.org/W2031581230","https://openalex.org/W2041547481","https://openalex.org/W2045045117","https://openalex.org/W2049932069","https://openalex.org/W2054099135","https://openalex.org/W2058919411","https://openalex.org/W2064879510","https://openalex.org/W2087692486","https://openalex.org/W2107934442","https://openalex.org/W2119341510","https://openalex.org/W2124760261","https://openalex.org/W2136826445","https://openalex.org/W2328571913","https://openalex.org/W2413605459","https://openalex.org/W2508876750","https://openalex.org/W2524423179","https://openalex.org/W2529063685","https://openalex.org/W2804282945","https://openalex.org/W2938764870","https://openalex.org/W2947291951","https://openalex.org/W2972328311","https://openalex.org/W3019474845","https://openalex.org/W3042340552","https://openalex.org/W3049704573","https://openalex.org/W3172847087","https://openalex.org/W3184247013","https://openalex.org/W3190701506","https://openalex.org/W4220765580","https://openalex.org/W4283765741","https://openalex.org/W4366990260","https://openalex.org/W4399381617","https://openalex.org/W4400568597","https://openalex.org/W4403085338","https://openalex.org/W4408393513","https://openalex.org/W7166535140","https://openalex.org/W7167036492"],"related_works":["https://openalex.org/W2045045117","https://openalex.org/W2328571913","https://openalex.org/W2122132204","https://openalex.org/W4366990260","https://openalex.org/W2473149969","https://openalex.org/W1989978448","https://openalex.org/W4294647614","https://openalex.org/W2119034967","https://openalex.org/W1982981397","https://openalex.org/W1984166213"],"abstract_inverted_index":{"Background":[0],"\u2018Minimally":[1],"invasive":[2],"repair":[3],"of":[4,24,138,150,183,199,205,240],"pectus":[5,272],"excavatum\u2019":[6],"(MIRPE)":[7],"was":[8,29,157,167,175,192],"introduced":[9],"by":[10,31,210,221],"Donald":[11],"Nuss":[12],"in":[13,52,84,96,153,169,194,267],"1998.":[14],"Numerous":[15],"modifications":[16],"have":[17,39,243],"since":[18,76],"been":[19,244,265],"proposed":[20],"to":[21,56,64,109,163,187,202,281,285,293],"minimize":[22],"dislocation":[23],"the":[25,36,81,102,110,117,129,135,151,181,203,224,259],"implanted":[26],"bar(s).":[27],"Progress":[28],"made":[30],"utilizing":[32],"shorter":[33],"bars,":[34],"but":[35],"underlying":[37],"biomechanics":[38],"remained":[40],"somewhat":[41],"unclear.":[42],"At":[43],"our":[44],"center,":[45],"we":[46,78,89],"routinely":[47],"use":[48,90],"multiple":[49],"short":[50,94,271],"bars":[51,95,152,273,279],"modular/flexible":[53],"(as":[54],"opposed":[55],"closed/rigid)":[57],"constructs":[58],"with":[59,124,134,217,274],"medial":[60],"unilateral":[61],"stabilizers,":[62],"intended":[63],"provide":[65],"freedom":[66],"both":[67],"laterally":[68],"and":[69,121,233],"between":[70],"bars.":[71],"Methods":[72],"Having":[73],"used":[74,168],"MIRPE":[75],"2001,":[77],"settled":[79],"for":[80,147,231,235],"current":[82],"approach":[83,166],"2019.":[85],"In":[86],"most":[87],"cases,":[88],"two":[91],"or":[92,99,144],"three":[93],"parallel,":[97],"crossed,":[98],"\u201cXI\u201d":[100],"configurations,":[101],"latter":[103],"adding":[104],"a":[105,215],"third":[106],"bar":[107,113,139,190,241,262],"cranial":[108],"cross.":[111],"Each":[112],"is":[114],"inserted":[115],"through":[116],"same":[118],"retrosternal":[119],"tunnel":[120],"fitted":[122],"unilaterally":[123],"one":[125,213],"ventral":[126,275],"stabilizer":[127],"near":[128],"thoracic":[130],"entry":[131],"point,":[132],"coinciding":[133],"hinge":[136],"point":[137],"rotation.":[140],"Given":[141],"no":[142,261],"bridging,":[143],"additional":[145],"suturing":[146],"fixation,":[148],"each":[149],"this":[154,165,298],"retrospective":[155],"series":[156],"mechanically":[158,269],"independent.":[159],"Results":[160],"From":[161],"07/2019":[162],"02/2026,":[164],"160":[170],"consecutive":[171],"patients.":[172],"Median":[173],"age":[174,222],"16":[176],"(IQR:":[177],"14\u201320)":[178],"years":[179,209],"at":[180],"time":[182],"surgery.":[184],"Revision":[185],"due":[186,284],"clinically":[188,286],"relevant":[189,287],"migration":[191],"needed":[193,292],"3":[195],"patients":[196],"(1.88%).":[197],"Two":[198],"these":[200],"belonged":[201],"minority":[204],"41":[206],"adults":[207,232],"(\u226520":[208],"WHO":[211],"criteria),":[212],"being":[214],"15-year-old":[216],"challenging":[218],"requirements.":[219],"Stratified":[220],"groups,":[223],"aforementioned":[225],"rate":[226],"would":[227],"translate":[228],"into":[229],"4.88%":[230],"0.84%":[234],"children/adolescents.":[236],"No":[237],"cases":[238],"(0%)":[239],"\u2018flipping\u2019":[242],"observed":[245],"(exact":[246],"upper":[247],"95%":[248],"confidence":[249],"limit:":[250],"2.28%).":[251],"Conclusions":[252],"While":[253],"fully":[254],"acknowledging":[255],"patient-based":[256],"analysis":[257],"as":[258],"standard,":[260],"flipping":[263],"has":[264],"seen":[266],"356":[268],"independent,":[270],"hinge-point":[276],"stabilization.":[277],"Three":[278],"had":[280],"be":[282],"revised":[283],"migration.":[288],"Comparative":[289],"studies":[290],"are":[291],"determine":[294],"any":[295],"advantages":[296],"that":[297],"biomechanical":[299],"concept":[300],"may":[301],"hold":[302],"over":[303],"other":[304],"stabilization":[305],"strategies.":[306]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-30T00:00:00"}
