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Case Reports
. 2024 Jan 5;14(1).
doi: 10.2106/JBJS.CC.23.00424. eCollection 2024 Jan 1.

Corrosion of a Fassier-Duval Telescopic Nail Causing Pain and Osteolysis: A Case Report

David Ngo  1 , Maya Todd  1 , Franck Accadbled  1 , Bruce Foster  1 , Morten Stendahl Jellesen  2 , Jan Duedal Rölfing  3 , Jaideep Rawat  1
Affiliations
Case Reports

Corrosion of a Fassier-Duval Telescopic Nail Causing Pain and Osteolysis: A Case Report

David Ngo et al. JBJS Case Connect. .

Abstract

Case: A 15-year-old girl known with osteogenesis imperfecta presented with left femoral pain. She had been treated with multiple Fassier-Duval intramedullary nails, which were still in situ. Radiographic imaging demonstrated focal osteolysis and periosteal reaction at the telescopic junction of the rod in the distal femur. She underwent implant removal. Intraoperative sampling demonstrating acute sterile inflammation and presence of brownish colored particles consistent with metal debris and osteolysis. Explant analysis confirmed corrosion of the stainless-steel telescopic nail as the underlying cause.

Conclusion: Osteolysis and periosteal reaction because of corrosion should be considered in conjunction with other more common causes of pain, such as fracture or infection, in patients treated with telescopic intramedullary nails.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C271).

References

    1. Musielak BJ, Wozniak L, Sulko J, Oberc A, Jóźwiak M. Problems, complications, and factors predisposing to failure of Fassier-Duval rodding in children with osteogenesis imperfecta: a double-center study. J Pediatr Orthop. 2021;41(4):e347-52.
    1. Hidalgo Perea S, Green DW. Osteogenesis imperfecta: treatment and surgical management. Curr Opin Pediatr. 2021;33(1):74-8.
    1. Sax OC, Molavi DW, Herzenberg JE, Standard SC, McClure PK. Biopsy proven focal osteolysis in a stainless-steel limb-lengthening device: a report of three cases. J Am Acad Orthop Surg Glob Res Rev. 2021;5(10):e21.00101.
    1. Rölfing JD, Kold S, Nygaard T, Mikuzis M, Brix M, Faergemann C, Gottliebsen M, Davidsen M, Petruskevicius J, Olesen UK. Pain, osteolysis, and periosteal reaction are associated with the STRYDE limb lengthening nail: a nationwide cross-sectional study. Acta Orthop. 2021;92(4):479-84.
    1. Iliadis AD, Wright J, Stoddart MT, Goodier WD, Calder P. Early results from a single centre's experience with the STRYDE nail: a cause for concern? Bone Joint J. 2021;103-B(6):1168-72.

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