使用法西耶 - 杜瓦尔伸缩棒治疗成骨不全症

TREATMENT OF OSTEOGENESIS IMPERFECTA USING THE FASSIER-DUVAL TELESCOPIC ROD.

作者信息

Goiano Ellen de Oliveira, Akkari Miguel, Costa Paulo Humberto, Makishi Marina Rafaele, Santili Cláudio

机构信息

Irmandade da Santa Casa de Misericórdia de São Paulo, Pediatric Orthopedics and Traumatology Group, Sao Paulo, SP, Brazil.

Irmandade da Santa Casa de Misericórdia de São Paulo, Programa de Ortopedia e Traumatologia Pediátrica, Sao Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2023 Sep 8;31(spe3):e266775. doi: 10.1590/1413-785220233103e266775. eCollection 2023.

DOI:10.1590/1413-785220233103e266775

PMID:37720808

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10502982/

Abstract

OBJECTIVES

This study aimed to assess the treatment of patients with Osteogenesis Imperfecta (OI) operated on with a telescopic Fassier-Duval (FD) rod in a querterenario hospital from 2010 to 2020.

METHODS

We analyzed indication for surgical treatment, causes of reoperation, complications and the effectiveness of telescoping rod.

RESULTS

The results were compared with the literature and with the same parameters from a previous study which a different telescopic rod developed by the same authors. This was a retrospective study based on the analysis of digital and radiographic clinical records. Fifteen patients with 21 FD rods were evaluated, most were used on the femur (18 rods or 85.7%), eight patients were female (53.3%), with a mean age of 10.47 (3.92 to 16.44) years, most of whom had type III Sillence (46.7%), with a mean follow-up of 5.22 (1.43 to 7.02) years. Seven rods (33.3%) had complications. The main indication was for fracture (57.1%). Regarding the ability to telescope, we observed that 15 rods (71.4%) followed the child's growth.

CONCLUSION

We had good results using FD rods, similar to the data found in the literature and the data obtained with our rod. .

摘要

目的

本研究旨在评估2010年至2020年期间在一家四级医院接受可伸缩式法西耶 - 杜瓦尔（FD）棒手术的成骨不全（OI）患者的治疗情况。

方法

我们分析了手术治疗指征、再次手术原因、并发症以及可伸缩棒的有效性。

结果

将结果与文献以及同一作者研发的不同可伸缩棒的先前研究中的相同参数进行了比较。这是一项基于数字和放射学临床记录分析的回顾性研究。对15例使用21根FD棒的患者进行了评估，大多数棒用于股骨（18根，占85.7%），8例患者为女性（占53.3%），平均年龄为10.47（3.92至16.44）岁，其中大多数为III型席尔恩斯（占46.7%），平均随访时间为5.22（1.43至7.02）年。7根棒（占33.3%）出现并发症。主要指征是骨折（占57.1%）。关于可伸缩能力，我们观察到15根棒（占71.4%）随着儿童生长。