Experience with Bailey-Dubow Rodding in Children with Osteogenesis Imperfecta

Karbowski, A.; Schwitalle, M.; Brenner, R.; Lehmann, H. Peter; Pontz, B. F.; Wörsdörfer, O.

doi:10.1055/s-2008-1072339

Cited by 48 publications

(22 citation statements)

References 9 publications

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“…Failure of telescoping and subsequent intramedullary migration of the rod have been reported in several clinical series 6,7,[9][10][11][13][14][15][16]20 . A telescopic rod elongates only when the forces generated by proximal and distal fixation points exceed the friction forces between the sleeve and the obturator and between the hardware and the surrounding tissue.…”

Section: Discussionmentioning

confidence: 99%

“…5). Karbowski et al reported that the tibia has a higher rate of this complication than does the femur and that cutting through by the T-piece occurs more frequently at the distal part of the tibia 16 . We believe that the interlocking pin used with the interlocking telescopic rod, if properly implanted, provides stronger anchorage than does a T-piece.…”

Section: Discussionmentioning

confidence: 99%

“…W ITH OSTEOGENESIS IMPERFECTA plete dislocation of the ankle joint or a medial malleolar osteotomy 5,8 , possibly damaging the weight-bearing area of the distal tibial articular cartilage. These possible iatrogenic problems along with higher complication rates 13,16 have made use of the telescopic rod in the tibia controversial, and as a result some authors prefer rods that do not elongate 5,8 . We developed a new anchorage system to be used in the distal epiphysis to allow telescoping of an elongating rod.…”

mentioning

confidence: 99%

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Interlocking Telescopic Rod for Patients with Osteogenesis Imperfecta

Cho

Choi

Chung

et al. 2007

The Journal of Bone and Joint Surgery-American Volume

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Interlocking Telescopic Rod for Patients with Osteogenesis Imperfecta

Cho

Choi

Chung

et al. 2007

The Journal of Bone and Joint Surgery-American Volume

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“…Therapeutic efforts are aimed at maximizing mobility and other functional capabilities [4, 6]. Standing and walking can often only be achieved after femora and tibiae have been straightened using intramedullary rods [5, 7, 8]. This treatment approach can be successful, but does not alter the often extreme bone fragility in these patients.…”

Section: Bisphosphonate Therapy In Oimentioning

confidence: 99%

Treatment of Osteogenesis Imperfecta: Who, Why, What?

Glorieux

2007

Horm Res Paediatr

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Introduction: Osteogenesis imperfecta (OI) is a heritable disorder characterized by bone fragility and reduced bone mass. It may present with a wide range of severity. About 85% of the cases are linked to mutations in one of the two genes encoding type I collagen. In other cases of OI, there are mutations in the expression of a cartilage-related protein or of 3-prolyl-hydroxylase.Increased bone turnover rate, due to the repair activity triggered to replace weak tissue, is the rule. Often, disuse bone loss further compounds the decrease in bone mass. These findings justify the use of bisphosphonates to reduce osteoclast-mediated bone resorption, and so tilt the remodeling balance towards an increase in bone mass. Conclusions: Cyclical intravenous pamidronate administration reduces bone pain, and increases bone mass and density. No negative effects on growth or fracture repair have been observed. There is an increase in size of vertebral bodies and thickening of cortical bone, which translates into decreased fracture incidence and improved ambulation. However, the long-term consequences of low bone turnover in children with OI are unknown at the present time. Innovative surgery and specific occupational and physiotherapy programs are integral parts of the treatment protocol. This approach will prevail until gene-based therapies become clinically applicable.

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“…The femur is the most common bone that requires surgical correction in OI as a result of fractures and progressive deformities [5,6]. The femoral midshaft appears to be the most common site [7].…”

Section: Introductionmentioning

confidence: 99%

Management pitfalls of fractured neck of femur in osteogenesis imperfecta

Chow

Negandhi

Kuong

et al. 2013

Journal of Children's Orthopaedics

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Introduction Fractured neck of femur in osteogenesis imperfecta is rarely reported. Its management is always difficult because of bone fragility and the outcome is not well known. We, therefore, aimed to study the management pitfalls in this group of patients. Methods We retrospectively reviewed five cases of fractured neck of femur in four patients treated in our hospital between 2006 and 2009. The demographic data, mode of injury, fracture configuration, treatment, complications, clinical and radiological outcome were reviewed. Results According to the Sillence classification, one patient was type I, two were type III and one was type IV. There were two children (aged 8 and 15 years) and two adults (aged 21 and 22 years), with the 8 year-old girl suffering from hip fracture on different sides in two accidents. All five hip fractures were the result of low-energy injury and were associated with other fractures. Two undisplaced fractures required intra-operative fluoroscopic confirmation to demonstrate movement at the fracture site.

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Experience with Bailey-Dubow Rodding in Children with Osteogenesis Imperfecta

Abstract: We concluded that the use of Bailey-Dubow rods in early childhood can be recommended for the femur, whereas insertion into the tibia or humerus is associated with a considerable complication rate.

Cited by 48 publications

References 9 publications

Interlocking Telescopic Rod for Patients with Osteogenesis Imperfecta

Interlocking Telescopic Rod for Patients with Osteogenesis Imperfecta

Treatment of Osteogenesis Imperfecta: Who, Why, What?

Management pitfalls of fractured neck of femur in osteogenesis imperfecta

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