Functional Outcome of Humeral Rodding in Children With Osteogenesis Imperfecta

被引：11

作者：

Ashby, Elizabeth ^{[1
]}

Montpetit, Kathleen ^{[1
]}

Hamdy, Reggie C. ^{[1
]}

Fassier, Francois ^{[1
]}

机构：

[1] McGill Univ, Shriners Hosp Children, Div Paediat Orthopaed, Dept Paediat Surg, Montreal, PQ, Canada

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 2018年 / 38卷 / 01期

关键词：

osteogenesis imperfecta; humeral rodding; functional outcome; NONUNION; FORM;

D O I：

10.1097/BPO.0000000000000729

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background:The impact of humeral rodding on functional ability in children with osteogenesis imperfecta (OI) has not previously been reported. This article investigates this issue.Methods:A retrospective chart review was conducted on 35 children with OI who underwent humeral rodding at our institution between 1995 and 2013. Fassier-Duval rods were inserted in 19 cases, K-wires in 13 cases, and Rush rods in 3 cases. Functional ability was assessed preoperatively and every year postoperatively using the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI).Results:The mean PEDI self-care score increased by 5.7 (P=0.028) and the mean PEDI mobility score increased by 3.6 (P=0.008) at 1-year postsurgery. Improved function was maintained in the majority of cases at a mean of 7.0 years postcorrection.Conclusions:Humeral rodding in children with OI leads to significant improvement in functional ability.Level of Evidence:Level IV.

引用

页码：49 / 53

页数：5

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