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© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

(1) Background: The Fassier–Duval (FD) nail was developed for the treatment of osteogenesis imperfecta (OI). The aim of this study was to review the results of OI patients treated with the FD nail at our institution and discuss a surgical strategy to decrease the FD nail revision rate; (2) Methods: We retrospectively reviewed OI patients treated at our institution between 2015 and 2020. OI patients treated with FD nail insertion in the long bones of the lower extremities were included, and those with a follow-up duration <1 year or incomplete radiographs were excluded. Data on the type of OI, age, sex, use of bisphosphonate treatment, and nail failure were recorded; (3) Results: The final cohort consisted of seven patients (three females and four males) with ten femurs and ten tibiae involved. Six of the patients had type III OI, and one had type IV OI. An exchange of implant was required in 11 limbs. The average interval between previous FD nail insertion and revision surgery was 2.4 years; (4) Discussion: The main reasons for revision surgery were migration of the male/female component, refracture/nail bending, and delayed union. In the femur, migration of the female component or nail bending were common reasons for failure, while migration of the male component and delayed union were common in the tibia; (5) Conclusions: Surgery for OI patients is challenging, and physicians should aim to minimize complications and the need for revision. Sufficient depth of purchase, center–center nail position, and adequate osteotomy to correct bowing are the key factors when using the FD nail.

Details

Title
Surgical Strategy to Decrease the Revision Rate of Fassier–Duval Nailing in the Lower Limbs of Osteogenesis Imperfecta
Author
Yi-Chi, Hung 1 ; Kai-Yuan, Cheng 1 ; Hsiang-Yu, Lin 2 ; Lin, Shuan-Pei 3 ; Chen-Yu, Yang 1 ; Shih-Chia, Liu 1 

 Department of Orthopedics, MacKay Memorial Hospital, Taipei 10449, Taiwan; [email protected] (Y.-C.H.); [email protected] (K.-Y.C.); [email protected] (S.-C.L.) 
 Department of Pediatrics, MacKay Memorial Hospital, Taipei 10449, Taiwan; [email protected] (H.-Y.L.); [email protected] (S.-P.L.); Department of Rare Disease Center, MacKay Memorial Hospital, Taipei 10449, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City 25245, Taiwan; MacKay Junior College of Medicine, Nursing and Management, Taipei 11260, Taiwan; Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 406040, Taiwan 
 Department of Pediatrics, MacKay Memorial Hospital, Taipei 10449, Taiwan; [email protected] (H.-Y.L.); [email protected] (S.-P.L.); Department of Rare Disease Center, MacKay Memorial Hospital, Taipei 10449, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City 25245, Taiwan; Department of Infant and Child Care, National Taipei University of Nursing and Health Sciences, Taipei 10650, Taiwan 
First page
1151
Publication year
2022
Publication date
2022
Publisher
MDPI AG
e-ISSN
20754426
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2694012703
Copyright
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.