Functional results of operation in osteogenesis imperfecta: elongating and nonelongating rods.
Gait capacity, operative intervention, and complications of operation were evaluated in 20 patients with osteogenesis imperfecta (OI). Thirty-two Bailey-Dubow (B-D) rods and 24 nonelongating rods were used. Postoperatively, gait capacity improved in eight patients, regressed in three, and remained unchanged in nine. No preoperative ambulator regressed to a nonambulatory status. The Sillence disease type was not a prognostic indicator of giat capacity. The complication rate was 72% for the B-D rod and 50% for the nonelongating rod, although the percentage requiring reoperation was similar for both types of nails. There was no difference in longevity between the two nails.
Porat
S
S
Department of Orthopedics, Hadassah University Hospital, Hebrew University, Jerusalem, Israel.
Heller
E
E
Seidman
D S
DS
Meyer
S
S
D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D002648:Child; D005260:Female; D005684:Gait; D006801:Humans; D008297:Male; D010013:Osteogenesis Imperfecta / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D011184:Postoperative Period; D016059:Range of Motion, Articular; D012086:Reoperation