• J Pediatr Orthop · Jan 2018

    Functional Outcome of Humeral Rodding in Children With Osteogenesis Imperfecta.

    • Elizabeth Ashby, Kathleen Montpetit, Reggie C Hamdy, and Francois Fassier.
    • Department of Paediatric Surgery, Division of Paediatric Orthopaedics, Shriners Hospital for Children, McGill University, Montreal, QC, Canada.
    • J Pediatr Orthop. 2018 Jan 1; 38 (1): 49-53.

    BackgroundThe impact of humeral rodding on functional ability in children with osteogenesis imperfecta (OI) has not previously been reported. This article investigates this issue.MethodsA 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).ResultsThe 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.ConclusionsHumeral rodding in children with OI leads to significant improvement in functional ability.Level Of EvidenceLevel IV.

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