Application of Bailey-Dubow rods in the treatment ofOsteogenesis Imperfecta

  • N. Bilsel
  • T. Beyzadeoglu
  • A. Kafadar
Original articles


We performed two technical modifications at 7 patients at an average age of 6 (5–8) with Osteogenesis Imperfecta between 1984–1988 to lower the complication rate as an outcome of T piece loosening and destruction of ankle joint in Bailey-Dubow rod applications. The first modification was welding the sleeve to the T piece and the second one was applying the rod through the medial malleolus like a malleolar screw without exposing the ankle joint. As 2 patients died during the follow-up, 12 operations (10 femora and 2 tibiae) of the remaining 5 patients (4 males and 1 female) were evaluated after skeletal maturity. The mean follow-up period was 148 (132–168) months. 3 of the patients were Sillence I, while 2 of them were Sillence III. According to Hoffer and Bullock's ambulation criteria, preoperatively 4 patients were grade 4 and 1 patient was grade 3. Postoperatively 3 patients were evaluated as grade 2 while 2 patients as grade 1. Complication rate outcomed as 25% and 33% (totally 58%) as major and minor ones respectively according to Ziont et al.'s classification. The reasons for the lower complication rate in our series are the older age of the patients, performance of the operation by the same experienced surgeon, the 3 patients' being in Sillence 1 and the application of two different new modifications.

Key words

Osteogenesis Imperfecta Bailey Dubow rods 


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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • N. Bilsel
    • 1
  • T. Beyzadeoglu
    • 1
  • A. Kafadar
    • 2
  1. 1.Department of Orthopaedic Surgery, Cerrahpasa Faculty of MedicineIstanbul UniversityIstanbulTurkey
  2. 2.Department of Orthopaedic SurgeryHaydarpasa Numune HospitalIstanbulTurkey

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