Osteogenesis Imperfecta—Who Needs Rodding Surgery?

• Published in: Current osteoporosis reports Vol. 19; no. 3; pp. 264 - 270
• Main Author: Fassier, François R.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.06.2021
• Subjects: Braces; Child; Child, Preschool; Diphosphonates - therapeutic use; Epidemiology; Fracture Fixation, Intramedullary - methods; Fractures, Bone - etiology; Fractures, Bone - surgery; Humans; Infant; Internal Fixators; Medicine; Medicine & Public Health; Orthopedics; Osteogenesis Imperfecta - complications; Osteogenesis Imperfecta - drug therapy; Osteogenesis Imperfecta - surgery; Pediatrics (C Munns and F Rauch; Reoperation; Section Editors; Topical Collection on Pediatrics; Rodding surgery; Osteogenesis imperfecta; Femur; Telescopic nail; Humerus; Tibia
• ISSN: 1544-1873; 1544-2241
• DOI: 10.1007/s11914-021-00665-z

Purpose of Review The purpose of this review is to precise the indications for intramedullary rodding of long bones in osteogenesis imperfecta, the classic treatment for fractures and deformities in this condition. Recent Findings The use of plates and screws alone is not recommended, but its use in conjunction with rodding is becoming more popular as demonstrated in recent literature. The different types of rods are reviewed and their advantages/disadvantages exposed. There is a clear advantage for telescopic rods in terms of incidence of revision surgery but complications are still to be expected. Summary An interdisciplinary approach combining a medical treatment with a surgical correction of deformities as well as a rehabilitation program is the key for success in the treatment of osteogenesis imperfecta children.