Fassier-Duval Telescopic System: How I Do It?

Fassier, François

doi:10.1097/bpo.0000000000001024

Cited by 27 publications

(31 citation statements)

References 2 publications

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“…A simultaneous rodding surgical procedure has been associated with benefits including reducing rehabilitation time 14 , number of anesthesia procedures, postoperative pain management needs, and hospital stay days 17 . In this study, having 1 or 2 femora rodded at the same time showed no differences in mobility outcomes and less favorable results were found for the case of simultaneous femoral and tibial rodding.…”

Section: Discussionmentioning

confidence: 99%

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A Multicenter Study of Intramedullary Rodding in Osteogenesis Imperfecta

et al. 2020

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Background: Osteogenesis imperfecta (OI), a heritable connective tissue disorder with wide clinical variability, predisposes to recurrent fractures and bone deformity. Management requires a multidisciplinary approach in which intramedullary rodding plays an important role, especially for moderate and severe forms. We investigated the patterns of surgical procedures in OI in order to establish the benefits of rodding. The main hypothesis that guided this study was that rodded participants with moderate and severe OI would have lower fracture rates and better mobility. Methods: With data from the Linked Clinical Research Centers, we analyzed rodding status in 558 individuals. Mobility and fracture data in OI Types III and IV were compared between rodded and non-rodded groups. Univariate regression analyses were used to test the association of mobility outcomes with various covariates pertinent to rodding. Results: Of the individuals with OI, 42.1% had undergone rodding (10.7% of those with Type I, 66.4% with Type III, and 67.3% with Type IV). Rodding was performed more frequently and at a younger age in femora compared with tibiae. Expanding intramedullary rods were used more frequently in femora. In Type III, the rate of fractures per year was significantly lower (p ≤ 0.05) for rodded bones. In Type III, the mean scores on the Gillette Functional Assessment Questionnaire (GFAQ) and Brief Assessment of Motor Function (BAMF) were higher in the rodded group. However, Type-IV non-rodded subjects had higher mean scores in nearly all mobility outcomes. OI type, the use of expanding rods in tibiae, and anthropometric measurements were associated with mobility outcomes scores. Conclusions: Current practice in 5 orthopaedic centers with extensive experience treating OI demonstrates that most individuals with moderate and severe types of OI undergo rodding procedures. Individuals with severe OI have improved mobility outcomes and lower fracture rates compared with their non-rodded peers, which suggests that early bilateral rodding benefits OI Type III. Our analysis showed a change in practice patterns in the final years of the study in the severe forms, with earlier and more simultaneous rodding procedures performed. Level of Evidence: Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

“…The determination of the best time to perform rodding depends on the patient’s clinical situation. Some have suggested rodding in patients who are attempting to stand 1 , 17 . Others have suggested lower-extremity alignment and protection as important factors to consider in nonambulatory individuals 10 .…”

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A Multicenter Study of Intramedullary Rodding in Osteogenesis Imperfecta

et al. 2020

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“…Shapiro states the goal of orthopedic surgery in OI is to help the bone grow straight, reduce fracture rate and in the event of fracture to prevent bone displacement [ 41 ]. Telescopic or elongating rods were initially developed by Bailey and Dubow [ 42 ], but have since undergone development by many surgeons [ 43 – 45 ].…”

Section: Therapy After Surgeriesmentioning

confidence: 99%

Consensus statement on physical rehabilitation in children and adolescents with osteogenesis imperfecta

Mueller

Engelbert

Baratta-Ziska

et al. 2018

Orphanet J Rare Dis

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On the occasion of the 13th International Conference on Osteogenesis imperfecta in August 2017 an expert panel was convened to develop an international consensus paper regarding physical rehabilitation in children and adolescents with Osteogenesis imperfecta. The experts were chosen based on their clinical experience with children with osteogenesis imperfecta and were identified by sending out questionnaires to specialized centers and patient organizations in 26 different countries. The final expert-group included 16 representatives (12 physiotherapists, two occupational therapists and two medical doctors) from 14 countries. Within the framework of a collation of personal experiences and the results of a literature search, the participating physiotherapists, occupational therapists and medical doctors formulated 17 expert-statements on physical rehabilitation in patients aged 0–18 years with osteogenesis imperfecta.

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“…[11]. Низкое качество кости служит причиной частой миграции TEN [7], что в нашем случае стало показанием к повторной операции. Из-за узкого интрамедуллярного канала мы не смогли установить два TEN, чтобы удерживать адекватную репозицию.…”

Section: описание случаяunclassified

“…Комбинация переломов, с которой мы столкнулись в данном клиническом случае, встречается крайне редко. Большинство публикаций посвящено лечению диафизарных переломов [7][8][9][10][11], нам не удалось найти публикаций, в которых бы описывалось лечение внутрисуставных переломов дистальной трети бедренной кости у детей с НО.…”

Section: Introductionunclassified

Surgical treatment of comminuted intraarticular distal femur fracture in patient with osteogenesis imperfecta type I

Burtsev

Фролов

Logvinov

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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Aim. Osteogenesis imperfecta (OI) is characterized by bone fragility and long bones deformities. Most studies are dedicated to surgical treatment of diaphyseal fractures. To our knowledge, there are no reports giving recommendations about surgical treatment of distal femur intraarticular fractures. Clinical case. We describe the surgical treatment of a 14-year-old girl with OI who had intraarticular fracture of the left distal femur and fracture of a right femur diaphysis. Surgical treatment was complicated by migration of a titanium elastic nail and impaired consolidation, which had to be fixed with a plate and led to peri-implant fracture. Results were assessed before trauma and at 1 and 2 years after trauma with Gillette Functional Assessment Questionnaire (GFAQ) and Bleck score. Discussion. During surgical treatment of comminuted intraarticular distal femur fractures in patients with OI, we had to use big cancellous screw that made implantation in an intramedullary fixator more difficult. Internal fixation with a plate in patients with OI is associated with high risks of peri-implant fracture. Conclusion. For treatment of comminuted intraarticular fracture of the distal femur, it is necessary to have large variety of internal fixators, follow the principles of absolute and relative stability, and be familiar with minimally-invasive techniques.

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Fassier-Duval Telescopic System: How I Do It?

Cited by 27 publications

References 2 publications

A Multicenter Study of Intramedullary Rodding in Osteogenesis Imperfecta

A Multicenter Study of Intramedullary Rodding in Osteogenesis Imperfecta

Consensus statement on physical rehabilitation in children and adolescents with osteogenesis imperfecta

Surgical treatment of comminuted intraarticular distal femur fracture in patient with osteogenesis imperfecta type I

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