Why the study?
Do Bailey-Dubow rods compared to nonelongating rods affect complication and reoperation rates in patients with osteogenesis imperfecta?
Do Bailey-Dubow rods compared to nonelongating rods affect complication and reoperation rates in patients with osteogenesis imperfecta?
Intramedullary rodding in osteogenesis imperfecta is associated with high complication and reoperation rates, though Bailey-Dubow rods may have lower reoperation rates than nonelongating rods.
High complication rates after rodding in osteogenesis imperfecta warrant informed consent discussions; comparative rod effectiveness remains uncertain in larger cohorts.
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.
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Gamble et al. (1988) studied this question.
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