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

David Ngo; Maya Todd; Franck Accadbled; Bruce Foster; Morten Stendahl Jellesen; Jan Duedal Rölfing; Jaideep Rawat

doi:10.2106/JBJS.CC.23.00424

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

David Ngo, Maya Todd, Franck Accadbled, Bruce Foster, Morten Stendahl Jellesen, Jan Duedal Rölfing, Jaideep Rawat

Research output: Contribution to journal › Journal article › Research › peer-review

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.

Original language	English
Article number	e23.00424
Journal	JBJS Case Connector
Volume	14
Issue number	1
ISSN	2160-3251
DOIs	https://doi.org/10.2106/JBJS.CC.23.00424
Publication status	Published - 2024

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

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.",

author = "David Ngo and Maya Todd and Franck Accadbled and Bruce Foster and Jellesen, {Morten Stendahl} and R{\"o}lfing, {Jan Duedal} and Jaideep Rawat",

year = "2024",

doi = "10.2106/JBJS.CC.23.00424",

language = "English",

volume = "14",

journal = "JBJS Case Connector",

issn = "2160-3251",

publisher = "Lippincott Williams & Wilkins",

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T1 - Corrosion of a Fassier-Duval Telescopic Nail Causing Pain and Osteolysis: A Case Report

AU - Ngo, David

AU - Todd, Maya

AU - Accadbled, Franck

AU - Foster, Bruce

AU - Jellesen, Morten Stendahl

AU - Rölfing, Jan Duedal

AU - Rawat, Jaideep

PY - 2024

Y1 - 2024

N2 - 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.

AB - 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.

U2 - 10.2106/JBJS.CC.23.00424

DO - 10.2106/JBJS.CC.23.00424

M3 - Journal article

C2 - 38181104

SN - 2160-3251

VL - 14

JO - JBJS Case Connector

JF - JBJS Case Connector

IS - 1

M1 - e23.00424

ER -

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

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