Treatment of Osteogenesis Imperfecta with Corkscrew Tipped Telescopic Nail

Abstract

Introduction and Aim: Osteogenesis imperfecta (OI) cause health problems in all tissues contain type-1 collagen. The patient is complaining from easily fragile bones due to loss endochondrial normal ossification. Different treatment techniques are in use. Telescopic nails gain wide acceptance to treat OI since its introduction. However, it newly introduced in our institution. The aim of this work was to assess the results of surgical intervention of osteogenesis imperfecta with corkscrew tipped telescopic nail

Patients and methods: This prospective case series included 10 cases of OI, and treated surgically with corkscrew tipped telescopic nail and followed up for six months. The study completed during the period from January to August 2020. It was ethically accepted and an informed consent signed by the patient or his/her guardians. Each included patient was subjected to full history, physical examination and laboratory examinations. In addition, an X-ray had been performed. The orthopedic repair was performed and every patient had a cast after surgery. The collected data included operative time, duration of hospital stay. Postoperatively, patient ambulation was encouraged.

Results: Patients were 7 males (70.0%) and 3 females (30.0%). Their age ranged between 3 and 10 years.  The operation was for tibia in 40% and femur in 100%. The postoperative complications were infection in 10%, and migration of the nail in 10%. No union or fracture after nailing was reported.

Conclusion: Telescopic nailing is an effective and relatively safe technique in the management of osteogenesis imperfecta.