Management of lower-extremity deformities in osteogenesis imperfecta with extensible intramedullary rod technique: A 20-year experience

Scott J. Luhmann, John J. Sheridan, Ann M. Capelli, Perry L. Schoenecker

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

Twelve patients (seven boys, five girls) who had osteogenesis imperfecta were treated with an extensible-rod system in 21 femurs and 15 tibias. Indications for use of extensible rods were multiple fractures, long-bone deformity prohibiting bracing and ambulation, and significant remaining linear growth. The average patient age at the time of placement of the extensible rods was 6+8 years (range, 2+4-10+10). Six femurs were treated with overlapping Rush rods; Bailey-Dubow rods were used in the remaining femurs and in all tibias. The average length of follow-up was 5+9 years (range, 2+0 13+2). Preoperatively, four of the 12 patients had never walked; postoperatively, all were ambulators with varying levels of assistance. Fourteen complications occurred, 12 of which required operative revision of the extensible rods. The average time between primary extensible rodding and revision was 5+1 years. No complications have occurred to date related to the use of overlapping Rush rods. No growth disturbance resulted from the use of the extensible-rod systems.

Original languageEnglish
Pages (from-to)88-94
Number of pages7
JournalJournal of Pediatric Orthopaedics
Volume18
Issue number1
DOIs
StatePublished - Feb 6 1998

Keywords

  • Bailey-Dubow rods
  • Extensible rods
  • Intramedullary rods
  • Osteogenesis imperfecta

Fingerprint Dive into the research topics of 'Management of lower-extremity deformities in osteogenesis imperfecta with extensible intramedullary rod technique: A 20-year experience'. Together they form a unique fingerprint.

Cite this