Management Of Femoral Shaft Fracture In Osteogenesis Imperfecta: A Case Study

Abstract

This case study examines the management of an 8-year-old male diagnosed with Osteogenesis Imperfecta (OI), focusing on a right femur shaft fracture with implant cut-out. The treatment involved surgical intervention, including implant removal, femoral osteotomy, and open reduction internal fixation (ORIF) with a telescoping nail, complemented by Zolendronic acid infusion (0.8 mg over 6 hours). Postoperative care included medications such as Ibugesic and Gemcal, with the patient tolerating the procedure well. The recovery was uneventful, with stable vitals and fair general condition at discharge, and a follow-up scheduled after 6 months. Clinical findings revealed swelling, tenderness, and restricted range of motion, with no deep vein thrombosis. The study highlights the efficacy of combining surgical and pharmacological approaches in stabilizing fractures in OI patients. Limitations and the need for long-term monitoring are noted, suggesting further research to refine treatment protocols for pediatric OI cases.