Functional results of operation in osteogenesis imperfecta: elongating and nonelongating rods
Porat, S.; Heller, E.; Seidman, D.S.; Meyer, S.
Journal of Pediatric Orthopedics 11(2): 200-203
1991
ISSN/ISBN: 0271-6798 PMID: 2010521 Document Number: 383597
Gait capacity, operative intervention, and complications of operation were evaluated in 20 patients with osteogenesis imperfecta (OI). Thirty-two Bailey-Dublow (B-D) rods nd 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 Silience disease type was not a prognostic indicator of gait 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.