Background: The report presents the authors' experience with Fassier-Duval rods in children and an analysis of advantages and complications.
Material And Methods: Over a period of 15 months, the authors operated on 10 children and 18 rod implantation procedures were performed. In five cases, the implantation was a primary procedure, while in the remaining 13 cases Fassier-Duval rods were used to replace short Rush rods.
Results: The mean follow-up was 18 months. Four children developed the following complications: lateral rod displacement within the distal epiphysis, male rod displacement outside the epiphysis ("negative telescoping"), retrograde displacement of the male rod from the distal epiphysis to the metaphysis and retrograde displacement of the female element beyond the greater trochanter.
Conclusions: 1. FD rodding allows for decreasing the number of operations because the nails need not be replaced as the child grows older. 2. FD rod implantation is limited by the size of the medullary cavity of the bone, and thus the age of the patient.
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http://dx.doi.org/10.5604/15093492.1186830 | DOI Listing |
Acta Ortop Bras
September 2023
Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, Sao Paulo, SP, Brazil.
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.
J Orthop Surg Res
June 2023
Department of Orthopedics and Traumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Introduction: Osteogenesis imperfecta is a genetic disorder leading to multiple fractures and deformities. Intramedullary rods have been used in the surgical treatment of osteogenesis imperfecta for decades. Complication rates reported by current techniques have been high.
View Article and Find Full Text PDFCureus
April 2023
Pediatric Orthopedics, University of South Alabama College of Medicine, Mobile, USA.
Osteogenesis Imperfecta (OI) is a rare hereditary disorder that leads to fragile bone mineralization and is most often due to a genetic defect in type I collagen, the primary collagen subtype that comprises bone. Patients with OI suffer from a significant burden of fractures and bony deformities. It has been recognized in countries throughout the world and has a variable age and severity of presentation depending on the subtype of OI.
View Article and Find Full Text PDFJ Pediatr Orthop
March 2022
Division of Orthopedic Surgery, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Background: Osteogenesis imperfecta is a collagen mutation-related disease characterized by bone fragility and other extraskeletal manifestations. Intramedullary fixation for deformity correction or fracture is the standard care. Elongating rods are designed to accommodate growth, with the aim of preventing additional operations and/or complications associated with nonelongating rods.
View Article and Find Full Text PDFJ Pediatr Orthop
September 2021
Department of Orthopaedics, Johns Hopkins University Hospital, Baltimore, MD.
Introduction: Pediatric patients with osteogenesis imperfecta (OI) can be treated with intramedullary Fassier-Duval rod (FDR) systems for limb deformity or recurrent fractures. Single-interlocking pins can improve epiphyseal fixation, but there is a paucity of literature examining incidence of rod migration or pin backout long-term. The purpose of this study is to quantify rates of rod migration and pin backout in OI patients treated with single-interlocking FDRs.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!