+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn

+ Translate
+ Recently Requested

Telescoping versus non-telescoping rods in the treatment of osteogenesis imperfecta

Telescoping versus non-telescoping rods in the treatment of osteogenesis imperfecta

Acta Orthopaedica Belgica 75(2): 200-208

A retrospective study was undertaken to evaluate and compare the results of telescoping (group I) versus non telescoping rods (group II) in the treatment of osteogenesis imperfecta. Thirty-three lower limb segments in ten patients were studied (14 segments in group I and 19 segments in group II). The surgical techniques of Sofield and Miller (1959) and Lang-Stevenson and Sharrard (1984) for rod insertion were used. All cases were assessed clinically regarding mobility status, growth and limb-length, refracture, and infection. They were also assessed radiologically regarding rod migration, bone outgrowing the rod, incorrect T-piece placement, breakage and bending of rods. The average duration of follow-up was 86.2 months (range: 6 to 8 years). Mobility status and bone growth were better in group I than in group II patients. The overall implant related complication rate was 28.6% in group I in comparison to 68.4% in group II. Rod migration was twice more common in group II than in group I. Bone outgrowing the rod and breakage of rods with fracture was seen in group II only. The three-year survival rate for telescoping rods was 92.9% in contrast to 68.4% for non telescoping rods. The reoperation rate was 7.2% in group I and 31.6% in group II. From this comparative study it was clear that the results were significantly better after Sheffield rods with regard to mobility status, longevity of the rod, and the frequency of complications requiring reoperations. Also most of the complications were related to the technique of rod insertion and the type of rod.

(PDF emailed within 1 workday: $29.90)

Accession: 056135683

Download citation: RISBibTeXText

PMID: 19492559

Related references

Telescoping intramedullary stabilization of the lower extremities for severe osteogenesis imperfecta. Journal of Pediatric Orthopedics 10(2): 219-223, 1990

Telescoping intramedullary rodding with Bailey-Dubow nails for recurrent pathologic fractures in children without osteogenesis imperfecta. Journal of Pediatric Orthopedics 18(1): 4-8, 1998

Complications of intramedullary rods in osteogenesis imperfecta: Bailey-Dubow rods versus nonelongating rods. Journal of Pediatric Orthopedics 8(6): 645-649, 1988

Osteogenesis imperfecta in Zimbabwe: a comparison between treatment with intramedullary rods of fixed-length and self-expanding rods. Journal of the Royal College of Surgeons of Edinburgh 43(5): 328-332, 1998

Magnetically navigable telescoping catheter and method of navigating telescoping catheter. Official Gazette of the United States Patent & Trademark Office Patents 1258(1), May 7, 2002

Effect of Different Distal Fixation Augmentation Methods on the Pullout Strength of Fassier-Duval Telescoping Rods. Orthopedics 39(2): E328-E332, 2016

Expanding intramedullary rods in the treatment of osteogenesis imperfecta. Revue de Chirurgie Orthopedique et Reparatrice de L'appareil Moteur 65(4): 235-242, 1979

Elongating intramedullary rods in the treatment of osteogenesis imperfecta. Journal of Bone and Joint Surgery. American Volume 59(4): 467-472, 1977

Osteogenesis imperfecta; treatment with internal rods for the prevention of fractures. Nederlands Tijdschrift Voor Geneeskunde 132(49): 2251-2253, 1988

Surgical treatment of the femur in osteogenesis imperfecta with intramedullary elongating rods. Orthopedics and Traumatology 1(3): 184-192, 1992

Report on New Types of lntramedullary Rods and Treatment Effectiveness Data for Selection of Intra medullary Rodding in Osteogenesis Imperfecta. Connective Tissue Research 31(Sup4): S77-S79, 1995

Elongating intramedullary rods in the treatment of osteogenesis imperfecta: R. L. Marafioti and G. W. Westin. J Bone Joint Surg 59A:467472 (June), 1977. Journal of Pediatric Surgery 13(1): 109-110, 1978

Treatment of the lesions of posterior urethra by telescoping. Urologia Panamericana 1(4): 115-117, 1969

Osteogenesis imperfecta--operative treatment on lower extremities in children with osteogenesis imperfecta. Chirurgia Narzadow Ruchu i Ortopedia Polska 70(3): 189-193, 2005

Treatment of complex intracranial aneurysms with a telescoping stent technique. Journal of Neurological Surgery. Part A, Central European Neurosurgery 73(5): 281-288, 2013