Lang-Stevenson A I, Sharrard W J
J Bone Joint Surg Br. 1984 Mar;66(2):227-32. doi: 10.1302/0301-620X.66B2.6368564.
The results and complications of the use of Bailey-Dubow extensible rods in 28 lower limb bones of 10 patients suffering from osteogenesis imperfecta are reviewed. Twenty-eight operations were for the primary insertion of the rods into the femur or tibia; a further nine operations were needed for the treatment of complications. These complications included 10 instances of proximal migration of the distal end of the rod, one of incorrect placement in the proximal femur, four instances of loosening of a T-piece and three of infection about a rod, two of these being in one child. Most complications arose from technical faults at insertion. The details of technique which have evolved from experience are described. Only one fracture has occurred in a bone after correct placement of a rod. Of the 10 patients, seven of whom had never walked before, seven were able to walk and two others had achieved walking, but were under treatment for complications at the time of review. There was no evidence of damage to growth epiphyses. The greater technical complexity of insertion of Bailey-Dubow rods is well justified by the results obtained when they are correctly applied.
回顾了10例成骨不全患者28根下肢骨使用贝利-杜波可延长棒的结果及并发症。28次手术是将棒初次植入股骨或胫骨；另外9次手术用于治疗并发症。这些并发症包括10例棒远端近端移位、1例股骨近端放置错误、4例T形件松动和3例棒周围感染，其中2例发生在1名儿童身上。大多数并发症源于植入时的技术失误。描述了从经验中总结出的技术细节。棒正确放置后，只有1根骨头发生了骨折。10例患者中，7例此前从未行走，7例能够行走，另外2例已能行走，但在复查时因并发症正在接受治疗。没有生长骨骺受损的证据。当贝利-杜波棒正确应用时所获得的结果充分证明了其植入技术更为复杂是合理的。
