ELONGATING INTRAMEDULLARY RODS IN TREATMENT OF OSTEOGENESIS IMPERFECTA
ELONGATING INTRAMEDULLARY RODS IN TREATMENT OF OSTEOGENESIS IMPERFECTA
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DOI：
10.2106/00004623-197759040-00006
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发表时间：
1977-01-01
影响因子：
5.3
通讯作者：
WESTIN, GW
中科院分区：
文献类型：
--
作者：
MARAFIOTI, RL;WESTIN, GW
成骨不全症患者在接受多次截骨术并行髓内棒固定畸形骨后，通常需要更换棒，因为当棒不再足够长以支撑骨从干骺端到干骺端时，骨会生长并成角。Bailey-Dubow髓内棒，随着生长而延长，是解决这个问题的一种尝试。本文回顾了72块骨（20例）的153例棒固定，其中47例为Bailey-Dubow棒。延长杆的使用有效地增加了两次置换手术之间的平均时间长度，降低了移除率，并且没有产生额外的不良影响。Bailey-Dubow杆似乎比非拉长杆有了显著的改进。
Patients with osteogenesis imperfecta who have undergone multiple osteotomies with realignment and intramedullary rod fixation of a deformed bone frequently require replacement of the rod because the bone grows and angulates when the rod no longer is long enough to support the bone from metaphysis to metaphysis. The Bailey-Dubow intramedullary rod, which elongates with growth, is an attempt to solve this problem. Rod-fixations (153) in 72 bones (20 patients) are reviewed, 47 being Bailey-Dubow rods. Use of the elongating rod effectively increased the average length of time between replacement operations, yielded a lower removal rate and showed no additional adverse effects. The Bailey-Dubow rod seems to be a measurable improvement over non-elongating rods.