TREATMENT OF OSTEOGENESIS IMPERFECTA USING THE FASSIER-DUVAL TELESCOPIC ROD

Overview

Journal Acta Ortop Bras

Specialty Orthopedics

Date 2023 Sep 18

PMID 37720808

Authors

Ellen de Oliveira Goiano

Miguel Akkari

Paulo Humberto Costa

Marina Rafaele Makishi

Claudio Santili

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aimed to assess the treatment of patients with Osteogenesis Imperfecta (OI) operated on with a telescopic Fassier-Duval (FD) rod in a querterenario hospital from 2010 to 2020.

Methods: We analyzed indication for surgical treatment, causes of reoperation, complications and the effectiveness of telescoping rod.

Results: The results were compared with the literature and with the same parameters from a previous study which a different telescopic rod developed by the same authors. This was a retrospective study based on the analysis of digital and radiographic clinical records. Fifteen patients with 21 FD rods were evaluated, most were used on the femur (18 rods or 85.7%), eight patients were female (53.3%), with a mean age of 10.47 (3.92 to 16.44) years, most of whom had type III Sillence (46.7%), with a mean follow-up of 5.22 (1.43 to 7.02) years. Seven rods (33.3%) had complications. The main indication was for fracture (57.1%). Regarding the ability to telescope, we observed that 15 rods (71.4%) followed the child's growth.

Conclusion: We had good results using FD rods, similar to the data found in the literature and the data obtained with our rod. .

References

Cho T, Choi I, Chung C, Yoo W, Lee K, Lee D . Interlocking telescopic rod for patients with osteogenesis imperfecta. J Bone Joint Surg Am. 2007; 89(5):1028-35. DOI: 10.2106/JBJS.F.00814. View

Sulko J, Oberc A . Advantages and Complications Following Fassier-Duval Intramedullary Rodding in Children. Pilot Study. Ortop Traumatol Rehabil. 2016; 17(5):523-30. DOI: 10.5604/15093492.1186830. View

Chockalingam S, Bell M . Technique of exchange of Sheffield telescopic rod system. J Pediatr Orthop. 2001; 22(1):117-9. View

Nicolaou N, Bowe J, Wilkinson J, Fernandes J, Bell M . Use of the Sheffield telescopic intramedullary rod system for the management of osteogenesis imperfecta: clinical outcomes at an average follow-up of nineteen years. J Bone Joint Surg Am. 2011; 93(21):1994-2000. DOI: 10.2106/JBJS.J.01893. View

Fassier A . Telescopic rodding in children: Technical progression from Dubow-Bailey to Fassier-Duval™. Orthop Traumatol Surg Res. 2020; 107(1S):102759. DOI: 10.1016/j.otsr.2020.102759. View

Balanescu R, Ulici A, Rosca D, Topor L, Barbu M . Use of minimally invasive (percutaneous) Fassier-Duval telescopic rod on an 8 year old patient with Lobstein disease. Chirurgia (Bucur). 2013; 108(1):120-5. View

Wirth T . The orthopaedic management of long bone deformities in genetically and acquired generalized bone weakening conditions. J Child Orthop. 2019; 13(1):12-21. PMC: 6376434. DOI: 10.1302/1863-2548.13.180184. View

Azzam K, Rush E, Burke B, Nabower A, Esposito P . Mid-term Results of Femoral and Tibial Osteotomies and Fassier-Duval Nailing in Children With Osteogenesis Imperfecta. J Pediatr Orthop. 2016; 38(6):331-336. DOI: 10.1097/BPO.0000000000000824. View

Rosemberg D, Goiano E, Akkari M, Santili C . Effects of a telescopic intramedullary rod for treating patients with osteogenesis imperfecta of the femur. J Child Orthop. 2018; 12(1):97-103. PMC: 5813132. DOI: 10.1302/1863-2548.12.170009. View

10.

Rauch F, Glorieux F . Osteogenesis imperfecta. Lancet. 2004; 363(9418):1377-85. DOI: 10.1016/S0140-6736(04)16051-0. View

11.

Sillence D, Senn A, Danks D . Genetic heterogeneity in osteogenesis imperfecta. J Med Genet. 1979; 16(2):101-16. PMC: 1012733. DOI: 10.1136/jmg.16.2.101. View

12.

Ruck J, Dahan-Oliel N, Montpetit K, Rauch F, Fassier F . Fassier-Duval femoral rodding in children with osteogenesis imperfecta receiving bisphosphonates: functional outcomes at one year. J Child Orthop. 2012; 5(3):217-24. PMC: 3100465. DOI: 10.1007/s11832-011-0341-7. View

13.

Birke O, Davies N, Latimer M, Little D, Bellemore M . Experience with the Fassier-Duval telescopic rod: first 24 consecutive cases with a minimum of 1-year follow-up. J Pediatr Orthop. 2011; 31(4):458-64. DOI: 10.1097/BPO.0b013e31821bfb50. View

14.

Wilkinson J, Scott B, Clarke A, Bell M . Surgical stabilisation of the lower limb in osteogenesis imperfecta using the Sheffield Telescopic Intramedullary Rod System. J Bone Joint Surg Br. 1998; 80(6):999-1004. DOI: 10.1302/0301-620x.80b6.8667. View

15.

Boutaud B, Laville J . [Elastic sliding central medullary nailing with osteogenesis imperfecta. Fourteen cases at eight years follow-up]. Rev Chir Orthop Reparatrice Appar Mot. 2004; 90(4):304-11. DOI: 10.1016/s0035-1040(04)70125-7. View

16.

Lee R, Paloski M, Sponseller P, Leet A . Bent Telescopic Rods in Patients With Osteogenesis Imperfecta. J Pediatr Orthop. 2015; 36(6):656-60. DOI: 10.1097/BPO.0000000000000509. View