Complications of intramedullary rods in osteogenesis imperfecta: Bailey-Dubow rods versus nonelongating rods.
Twenty-nine patients with osteogenesis imperfecta underwent 108 intramedullary roddings with 42 Bailey-Dubow rods and 66 nonelongating rods. The average age at insertion of the first rod was 5 years; average follow-up was 3.1 years (range 1-9 years). The overall complication rate was 60%-69% for Bailey-Dubow rods and 55% for nonelongating rods. Forty-seven percent of bones receiving rods required reoperation. Nonelongating rods had a 29% reoperation rate and a 24% replacement rate; Bailey-Dubow rods had a 19% reoperation rate and a 12% replacement rate.
Gamble
J G
JG
Stanford University School of Medicine, Palo Alto, California.
Strudwick
W J
WJ
Rinsky
L A
LA
Bleck
E E
EE
D000293:Adolescent; D000328:Adult; D001858:Bone Nails / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005548:Foreign-Body Migration; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D006801:Humans; D007223:Infant; D008297:Male; D010013:Osteogenesis Imperfecta / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation; D012189:Retrospective Studies