{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:01:27Z","timestamp":1780099287874,"version":"3.54.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Telescopic intramedullary nailing is a cornerstone in the surgical management of pediatric osteogenesis imperfecta (OI), providing fracture prevention and deformity correction while accommodating bone growth. Nevertheless, implant-related complications remain a challenge affecting long-term outcomes.<\/jats:p>\n                  <jats:p>This retrospective single-center study evaluated 13 pediatric patients with OI who underwent femoral fixation using corkscrew-tipped telescopic nails (CTTN) between 2014 and 2021. Demographic characteristics, Sillence classification, surgical indications, radiological outcomes, rod migration, complication, and revision rates were analyzed. Implant survival was assessed using Kaplan\u2013Meier analysis.<\/jats:p>\n                  <jats:p>The study consisted of 7 female (53.8%) and 6 male (46.2%) patients, with a mean age of 9.2\u2009\u00b1\u20093.8 years. Most patients were classified as Sillence type IB (84.6%), with one patient each classified as Type IA and Type III. Rod migration occurred in three patients (23.0%) without distal joint penetration. Limited telescoping was observed in two femurs (15.2%). The revision rate was 23.0%, and the overall complication rate was 38.4%. Mean rod survival was 4.8 years (95% confidence interval [CI], 3.9\u20135.7).<\/jats:p>\n                  <jats:p>CTTNs appear to be a feasible option for femoral fixation in pediatric patients with OI, avoiding joint arthrotomy and demonstrating acceptable complication and revision rates. However, lateral rod migration remains a notable limitation, indicating that adjunct stabilization techniques may be required.<\/jats:p>","DOI":"10.1055\/a-2877-4810","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:05:07Z","timestamp":1780095907000},"source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Corkscrew-Tipped Telescopic Nail in the Management of Osteogenesis Imperfecta in Pediatric Patients"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1293-4436","authenticated-orcid":false,"given":"Safak","family":"Sayar","sequence":"additional","affiliation":[{"name":"Biruni University Faculty of Medicine, T\u00fcrkiye","place":["Istanbul"],"department":["Orthopaedics and Traumatology Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celil","family":"Alemdar","sequence":"additional","affiliation":[{"name":"Istanbul Beykent University - Beylikduzu Campus, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Orthopaedics and Traumatology Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramazan","family":"Atic","sequence":"additional","affiliation":[{"name":"Dicle University Medical School, T\u00fcrkiye","place":["Diyarbakir"],"department":["Department of Orthopedics and Traumatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebahattin","family":"Demir","sequence":"additional","affiliation":[{"name":"Mardin Park Hospital, T\u00fcrkiye","place":["Mardin"],"department":["Department of Orthopedics and Traumatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkadir","family":"Aydin","sequence":"additional","affiliation":[{"name":"Dicle University Medical School, T\u00fcrkiye","place":["Diyarbakir"],"department":["Department of Physical Medicine and Rehabilitation,"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyyup Serdar","family":"Yalvac","sequence":"additional","affiliation":[{"name":"Dicle University Medical School, T\u00fcrkiye","place":["Diyarbakir"],"department":["Department of Orthopedics and Traumatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1016\/S0140-6736(01)07058-1","article-title":"Osteogenesis imperfecta. A disease of the osteoblast","volume":"358","author":"F H Glorieux","year":"2001","journal-title":"Lancet"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1002\/jbmr.2920","article-title":"Fracture rates and fracture sites in patients with osteogenesis imperfecta: a nationwide register-based cohort study","volume":"32","author":"L Folkestad","year":"2017","journal-title":"J Bone Miner Res"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1359\/jbmr.2003.18.4.610","article-title":"Bone mass, size, and density in children and adolescents with osteogenesis imperfecta: effect of intravenous pamidronate therapy","volume":"18","author":"F Rauch","year":"2003","journal-title":"J Bone Miner Res"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4274\/jpr.29981","article-title":"The results of the treatment of osteogenesis imperfecta with corkscrew tipped telescopic nail","volume":"4","author":"H Gunay","year":"2017","journal-title":"J Pediatr Res"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s12891-023-06222-2","article-title":"Which is the best femoral implant in children with osteogenesis imperfecta? a retrospective cohort study of 783 procedures","volume":"24","author":"H Yang","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.2106\/JBJS.F.00814","article-title":"Interlocking telescopic rod for patients with osteogenesis imperfecta","volume":"89","author":"T J Cho","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"09","key":"ref7","first-page":"e45376","article-title":"Complications after intramedullary fixation treatment of patients with osteogenesis imperfecta: telescopic versus non-telescopic implants","volume":"15","author":"T Bacaksiz Sr.","year":"2023","journal-title":"Cureus"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s00264-008-0515-1","article-title":"Modified Sofield-Millar operation: less invasive surgery of lower limbs in osteogenesis imperfecta","volume":"33","author":"M Abulsaad","year":"2009","journal-title":"Int Orthop"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/01241398-200201000-00024","article-title":"Technique of exchange of Sheffield telescopic rod system","volume":"22","author":"S Chockalingam","year":"2002","journal-title":"J Pediatr Orthop"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.3390\/jpm12071151","article-title":"Surgical strategy to decrease the revision rate of Fassier-Duval nailing in the lower limbs of osteogenesis imperfecta","volume":"12","author":"Y C Hung","year":"2022","journal-title":"J Pers Med"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"e347","DOI":"10.1097\/BPO.0000000000001763","article-title":"Problems, complications, and factors predisposing to failure of Fassier-Duval rodding in children with osteogenesis imperfecta: a double-center study","volume":"41","author":"B J Musielak","year":"2021","journal-title":"J Pediatr Orthop"},{"issue":"21","key":"ref12","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.2106\/JBJS.J.01893","article-title":"Use of the Sheffield telescopic intramedullary rod system for the management of osteogenesis imperfecta: clinical outcomes at an average follow-up of nineteen years","volume":"93","author":"N Nicolaou","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/BPB.0000000000000537","article-title":"Using a corkscrew-tipped telescopic nail in the treatment of osteogenesis imperfecta: a biomechanical study and preliminary results of 17 consecutive cases","volume":"28","author":"I Sarikaya","year":"2019","journal-title":"J Pediatr Orthop B"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/BPO.0b013e31821bfb50","article-title":"Experience with the Fassier-Duval telescopic rod: first 24 consecutive cases with a minimum of 1-year follow-up","volume":"31","author":"O Birke","year":"2011","journal-title":"J Pediatr Orthop"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/01202412-200509000-00001","article-title":"The choice of intramedullary devices for the femur and the tibia in osteogenesis imperfecta","volume":"14","author":"B Joseph","year":"2005","journal-title":"J Pediatr Orthop B"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2877-4810.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:05:09Z","timestamp":1780095909000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2877-4810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":15,"URL":"https:\/\/doi.org\/10.1055\/a-2877-4810","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}