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Combination of femoral fracture treatment and corrective osteotomy in a child with osteogenesis imperfecta

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Abstract

The main feature of osteogenesis imperfecta is an excessive fragility and deformability of the bones owing to reduced mass and bone quality. This leads to angular deformity and frequent fractures. These fractures usually heal rapidly, and conservative treatment is the norm. In displaced and unstable fractures, elastic intramedullary nailing is a treatment option. We report a case of a 3-year-old child with osteogenesis imperfecta type I who suffered an undisplaced femoral shaft fracture in the presence of a preexisting 32° femoral antecurvation. This deformity greatly increases the risk of a refracture due to the pathological induction of stress risers. Therefore, fracture treatment by unreamed elastic intramedullary nailing was combined with simultaneous correction osteotomy, resulting in anatomic alignment and uncomplicated fracture healing. The single-stage surgical stabilization performed allowed rapid mobilization along with a decreased likelihood of refracture.

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Authors and Affiliations

  1. Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany

    Martin Panzica, Boris Zelle, Christian Krettek, Harald Tscherne & Hans-Christoph Pape

  2. Department of Orthopaedics, Mount Sinai School of Medicine, 5 E 98th Street, Box 1188, New York, NY 10029-6574, USA

    Rajeev Garapati

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  1. Martin Panzica
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  2. Rajeev Garapati
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  3. Boris Zelle
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  4. Christian Krettek
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  5. Harald Tscherne
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  6. Hans-Christoph Pape
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Correspondence to Martin Panzica.

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Panzica, M., Garapati, R., Zelle, B. et al. Combination of femoral fracture treatment and corrective osteotomy in a child with osteogenesis imperfecta. Arch Orthop Trauma Surg 124, 341–345 (2004). https://doi.org/10.1007/s00402-004-0644-y

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  • DOI: https://doi.org/10.1007/s00402-004-0644-y

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