ISSN:
1432-1068
Keywords:
Osteogenesis Imperfecta
;
Bailey
;
Dubow rods
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary 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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01682313
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