Clinical descriptionFassier-Duval is a telescopic intramedullary nailing system developed by Pega Medical (an OrthoPediatrics group company), designed for patients with osteogenesis imperfecta (OI), skeletal dysplasias, and other bone deformities. The nail lengthens (“telescopes”) as the bone grows, preventing or stabilizing fractures and correcting long-bone deformities during growth.
The system consists of a female component, anchored in the proximal cortex, and a male component, anchored at the distal epiphysis, with threaded fixation. Unlike conventional telescopic nails (Bailey-Dubow, Sheffield), Fassier-Duval uses a single entry point, reducing invasiveness.
It is used as a temporary implant for the healing of diaphyseal fractures, osteotomies, nonunions, and malunions, and for the prevention of fractures of the femur, tibia, and humerus in pediatric patients. It can also be used in bone lengthening/shortening, together with external fixators, in pediatric or small-stature patients with limb-length discrepancy.