骨形成不全症に対するＢａｉｌｅｙ‐Ｄｕｂｏｗ　Ｒｏｄｓの使用経験

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  • Bailey-Dubow Rods in the Treatment of Osteogenesis Imperfecta.

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We reviewed our experience of multiple osteotomies with realignment and intramedullary rod fixation of deformed bones in 3 patients with osteogenesis imperfecta. There were one 7-year-old boy and two 6-year-old girls who were twins. The average duration of follow-up was 4.3 years. A further five operations were needed for treatment of complications which included one of femoral non-union, three of anterior placement of the rods and bony angular deformities in the distal part of the tibia, and one of proximal migration of the proximal end of the femoral rod. Satisfactory revisions for these had been carried out.<br>Another complication was cessation of elongation in six rods due to slight bending of the rods from 2.5 to 3 years postoperatively. No patients suffered a fracture after rodding. Prior to surgery none of the subjects had been able to walk. After surgery the boy was able to walk with braces and the twins walked using braces and walkers at the time of review. Dispite a high rate of complications, Bailey-Dubow rods are considered to be a useful treatment for growing children suffering from osteogenesis imperfecta.

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