TREATMENT OF OSTEOGENESIS IMPERFECTA USING THE FASSIER-DUVAL TELESCOPIC ROD. 2023

Ellen de Oliveira Goiano, and Miguel Akkari, and Paulo Humberto Costa, and Marina Rafaele Makishi, and Cláudio Santili
Irmandade da Santa Casa de Misericórdia de São Paulo, Pediatric Orthopedics and Traumatology Group, Sao Paulo, SP, Brazil.

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. We analyzed indication for surgical treatment, causes of reoperation, complications and the effectiveness of telescoping rod. 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. We had good results using FD rods, similar to the data found in the literature and the data obtained with our rod. .

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