Purpose: To compare revision and complication rates between telescopic and non-telescopic intramedullary rods in children with osteogenesis imperfecta (OI). Methods: A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered in the PROSPERO database (CRD42021287054). Databases were searched up to December 2025. Studies reporting surgical outcomes of intramedullary fixation in OI were included. Meta-analysis was performed using random-effects models. Results: Thirty-six studies including 1711 patients and 2459 treated bones were analyzed. Telescopic rods were associated with significantly lower revision rates compared to non-telescopic rods. No significant difference in overall complication rates was observed. Conclusion: Telescopic rods provide improved implant survival and reduce the need for reoperation in growing children with osteogenesis imperfecta, supporting their preferential use in clinical practice.
Yoshida et al. (Sun,) studied this question.
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