Application of Bailey-Dubow rods in the treatment ofOsteogenesis Imperfecta
- 63 Downloads
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 wordsOsteogenesis Imperfecta Bailey Dubow rods
Unable to display preview. Download preview PDF.
- 3.Lang-Stevenson Al, Sharrard WJ (1984) Intramedullary rodding with Bailey-Dubow extensible rods in osteogenesis imperfecta. An interim report of results and complications. J Bone Joint Surg [Br] 66(2): 227–232Google Scholar
- 5.Millar EA (1981) Observation on the surgical management of osteogenesis imperfecta. Clin Orthop 159: 422–427Google Scholar
- 9.Simenau R (1987) The Dubow-Bailey nail in the treatment of osteogenesis imperfecta. Orthop Trans 11: 52Google Scholar
- 10.Sofield HA, Millar EA (1959) Fragmentation, realignment and intramedullary rod fixation of deformities of the long bones in children: A ten years appraisal. J Bone Joint Surg [Am] 41: 1371–1391Google Scholar
- 11.Stockley I, Bell MJ, Sharrard WJ (1989) The role of expanding intramedullary rods in osteogenesis imperfecta. J Bone Joint Surg [Br] 71: 422–427Google Scholar