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Arthroscopic-assisted revision of telescopic rods in osteogenesis imperfecta
Christopher A Radkowski1, Robert D Fitch, William T Hardaker
1Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Abstract:
Bailey-Dubow extensible nails are intramedullary stabilization devices designed to prevent deformities and recurrent long bone fractures in patients with osteogenesis imperfecta. The rods consist of a hollow outer sleeve and a solid inner obturator, allowing for telescoping of the rods and expansion of the device with longitudinal growth of the bone. Migration of the nail into the joint is a known complication of this procedure, which can lead to pain and loss of motion. This is a case report of the use of an arthroscopic approach to manipulate femoral and tibial Bailey-Dubow rods that migrated into the knee joint.
