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Intrameduallry Rodding

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Information:


Non-Telescoping: Rush/Williams
Telescoping: Sheffield / Fassier – Duval

RODDING OPTIONS:


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RUSH RODS AND DUAL RUSH RODS
WILLIAMS ROD
TELESCOPING ROD


Never use plate in OI


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Plating


MUST BE AVOIDED AS HIGH RISK OF STRESS FRACTUR

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Revised to F – D Telescoping Rod


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Bilateral Femur Deformity in a 12 year old girl with Osteogenesis Imperfecta

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Operated 3x Plating Cross Wires

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Post IM rodding of femur: one year FU

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TIBIA FRACTURE: TREATED WITH TELESCOPING ROD

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SUPPLEMENTARY FIXATION MAY BE REQUIRED FOR DISTAL FRACTURES

Rush nail insertion after correction of deformity


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Four months post op

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Nine Months post-op Standing with support

OI


  • 10 year old child

  • OI ? Type III, progressive deformity

  • 5 cycles of Pamidronate received

  • No surgery done
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How early to rod ?

Rodding : before or after bisphosphonate treatment Choice of Rod

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Classical Shish Kabab Surgery
Very Narrow IM Canal: 2mm Rod inserted
Spica for 6 weeks and followed by splints
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Publications

Paediatric Fracture Management" Synopsis of Children Fracture Management & Orthopaedic Management of Duchenne Muscular Dystrophy: A guide for parents and caregivers...