Persiani P, et al. - Researchers assessed titanium elastic nail (TEN) as a possible alternative to telescopic nails in certain selected cases of Osteogenesis Imperfecta (OI) Type 3 with fractures. Of 485 patients with osteogenesis imperfecta, followed by the Centre for Congenital Osteodystrophy of the Sapienza University of Rome, 36 patients with OI type 3 (15 females and 21 males), aged between 2 and 10 years old, were selected. These patients had undergone surgical treatment with TEN for femur fractures between January 2007 to December 2009. Implantation of a single TEN was received by 12 patients while using the Sliding Nail (SN) technique, implantation of 2 TENs was performed on 24 of the cases. Findings highlighted that, albeit temporarily, the use of TEN vs telescopic nail surgery could represent as a less invasive approach in patients under the age of 4, with narrow medullary canals, low life expectancy, few to nil rehabilitative prospectives or severe comorbidities. The need for a surgical revision a few years down the line was anticipated in cases treated with TEN.