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of improvement to make hospital care for this vulnerable group safer. Telescopic rods in the management of osteogenesis imperfecta fail frequently. This could be attributed to technical errors, rod design, and rod structure. We aimed to analyze the mechanical properties and tribology of explanted male and female components to identify effects of in vivo telescoping that may relate to observed patterns of successful telescoping or failure. Recruitment took place at 3 of the 4 English centers for osteogenesis imperfecta. Twenty-five rods