Middleton R W, Frost R B
J Bone Joint Surg Br. 1987 May;69(3):429-32. doi: 10.1302/0301-620X.69B3.3294840.
This paper describes the design, development and early surgical experience with a stereotactic device to allow closed retrieval and interchange of intramedullary rods in children with osteogenesis imperfecta. This relatively atraumatic procedure may allow more frequent rod interchange than with other techniques, lessening the likelihood of deformity and fracture in the unsupported skeleton when the bone has outgrown the intramedullary rod. The procedure was developed by design studies in vitro followed by intramedullary rodding of tibiae of New Zealand white rabbits. It has been used in children 12 times, in six tibiae and six femora: 11 rods have been successfully retrieved, with rod interchange in eight of these cases.
本文描述了一种立体定向装置的设计、开发及早期手术经验，该装置用于成骨不全患儿髓内棒的闭合式取出和更换。与其他技术相比，这种相对无创的手术可能允许更频繁地更换髓内棒，当骨骼生长超过髓内棒时，可降低未支撑骨骼出现畸形和骨折的可能性。该手术首先通过体外设计研究，然后对新西兰白兔的胫骨进行髓内穿棒术来开发。它已在儿童中使用12次，涉及6根胫骨和6根股骨：成功取出11根髓内棒，其中8例进行了髓内棒更换。
