The Outcomes of Nonelongating Intramedullary Fixation of the Lower Extremity for Pediatric Osteogenesis Imperfecta Patients: A Meta-analysis

Scollan, Joseph P.; Jauregui, Julio J.; Jacobsen, Christina M.; Abzug, Joshua M.

doi:10.1097/bpo.0000000000000970

Cited by 24 publications

(16 citation statements)

References 21 publications

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“…Complications of surgery include a high reoperation rate, unsatisfactory results, and risk of nonunions at osteotomy sites [65][66][67] . To manage the poor bone density in patients with OI, adequate nutrition and supplementation with calcium and vitamin D is generally recommended, along with yearly DEXA scans to determine the use of preoperative bisphosphonates to optimize bone density 67 .…”

Section: Discussionmentioning

confidence: 99%

Developmental Foot Deformities in Patients with Connective Tissue Disorders

et al. 2023

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Foot deformities make up a large percentage of all orthopaedic complaints in patients with Down syndrome, Marfan syndrome, Ehlers-Danlos syndrome, Larsen syndrome, and osteogenesis imperfecta.» Some common causes of foot deformities in these conditions include increased ligament laxity, hypotonia, and hypermobility of the joints.» Treatment options for syndromic foot deformities include the use of foot orthoses, physical therapy, bracing, and various surgical procedures.» There is limited evidence supporting the use of surgical intervention to correct foot deformities associated with Down syndrome, Marfan syndrome, Ehlers-Danlos syndrome, Larsen syndrome, and osteogenesis imperfecta. Therefore, further research is needed to determine the short-term and long-term outcomes of these procedures.

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Section: Discussionmentioning

confidence: 99%

Developmental Foot Deformities in Patients with Connective Tissue Disorders

et al. 2023

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“…Non-elongating rods have higher reoperation and replacement rates than telescopic rods. Although elongating rods have the benefit of expanding as the bone grows, non-elongating rods are still preferred when treating either the too young, whose bones are too small to support telescopic rods, or those nearing skeletal maturity whose bones are no longer expected to grow [11]. Several single proximal-entry telescopic nails have been developed after the Bailey-Dubow and Sheffield rod, such as the Santa Casa telescopic intramedullary rod, Dyna-Locking Telescopic Rod, and the Fassier-Duval (FD) nail [7,12].…”

Section: Tens: Titanium Elastic Nail Systemmentioning

confidence: 99%

Dislodgement of Telescopic Nail from the Epiphysis: A Case Report with an Analysis of Probable Mechanism

Behera¹,

Santoshi²,

Geevarughese³

et al. 2020

Cureus

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“…Before the appearance of the telescopic rod, the implant alternatives were limited to plate, elastic nail and non-elongating rod. But splinting with these implants had not achieved satisfactory outcomes [ 20 – 22 ]. A previous study reported that the combination of rigid plates and the weak bone will result in increased fracture above or below the plate.…”

Section: Introductionmentioning

confidence: 99%

Which is the best femoral implant in children with osteogenesis imperfecta? a retrospective cohort study of 783 procedures

Yang

Xing

et al. 2023

BMC Musculoskelet Disord

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Background Osteogenesis imperfecta (OI) is a hereditary genetic disorder characterized by bone fragility and extremity deformities. The surgical management for long-bone fractures and deformities in OI remains a challenge. We aimed to compare clinical outcomes after femoral surgery splinted with the telescopic rod, the plate and screws, the elastic nail and the non-elongating rod in setting of OI. Methods A retrospective cohort study included 783 femoral procedures (mean age 6.00 (interquartile range (IQR) 5.00) years, 335 (42.8%) females) was conducted, and individuals were categorized into four groups according to implants. After verifying comparability among the groups, revision rate and implant survival period were compared among the Sillence types and the same comparison were made among four groups within each Sillence type. The incidence of refractures, deformities, and implant-related complications were also compared among the four groups. Results There were no significant differences in demographic information among the four groups in terms of sex (p = 0.101), laterality (p = 0.587), Sillence type (p = 0.122), and postoperative follow-up period (p = 0.214). In total, children with Sillence type III had the highest revision rate and the shortest implant survival period; children with Sillence type I had the lowest revision rate and the longest implant survival period; and children with Sillence type IV had the revision rate and the implant survival period between those observed in Sillence types I and III. In Sillence types III and IV, the telescopic rod had lower revision rate (III 24.8%; IV 20.9%) compared to the plate (III 97.2%, p<0.001; IV 80.3%, p<0.001), the elastic nail (III 100.0%, p=0.019; IV 73.9%, p<0.001) and the non-elongating rod (III 65.0%, p<0.001; IV46.9%, p<0.001); the median implant survival period of the telescopic rod (III 48.00 (IQR 28.50) months; IV 43.00 (33.00) months) is longer than the plate (III 11.00 (9.00) months, p<0.001; IV 19.00 (20.00) months, p<0.001), the elastic nail (III 45.00 (37.75) months, p=1.000; IV 19.00 (35.00) months, p=0.028) and the non-elongating rod (III 39.00 (31.75) months, p=0.473; IV 38.50 (29.75) months, p=1.000).A similar trend was observed in Sillence type I (p = 0.063, p = 0.003; respectively). In addition, the incidence of refracture (15.5%), deformity (2.8%) and implant-related complications (23.1%) were also statistically lower in the telescopic rod group. Conclusion In our cohort, lower revision rate and longer implant survival period were observed in telescopic rod group. This was mainly due to the significant lower incidence of refracture, deformity and implant-related complications with the use of telescopic rod.

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The Outcomes of Nonelongating Intramedullary Fixation of the Lower Extremity for Pediatric Osteogenesis Imperfecta Patients: A Meta-analysis

Abstract: Level IV-retrospective meta-analysis.

Cited by 24 publications

References 21 publications

Developmental Foot Deformities in Patients with Connective Tissue Disorders

Developmental Foot Deformities in Patients with Connective Tissue Disorders

Dislodgement of Telescopic Nail from the Epiphysis: A Case Report with an Analysis of Probable Mechanism

Which is the best femoral implant in children with osteogenesis imperfecta? a retrospective cohort study of 783 procedures

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