Bilateral Lower Limb Deformity Correction in Osteogenesis Imperfecta Using a Non-elongating Rush Rod: A Pragmatic Approach
Abstract
Osteogenesis imperfecta is a genetic disorder caused by defects in type I collagen. Long-bone plastic bowing results from bone fragility, microfractures, deforming muscular forces, stress fractures, and malunion. The primary goal of treatment is deformity correction and stabilization to prevent recurrent fractures and progression. The management of long-bone deformities commonly involves corrective osteotomies with intramedullary stabilization. Although telescopic rods are widely preferred for their ability to accommodate skeletal growth, their availability and cost may limit their use in many centers. Therefore, we present a report of the management of severe bilateral femoral and tibial deformities in a child with osteogenesis imperfecta using non-telescopic Rush rods. A five-year-old boy presented with progressive deformities of the upper and lower limbs associated with an inability to walk independently following multiple fractures after trivial trauma. Clinical examination revealed blue sclerae, dentinogenesis imperfecta, short stature, thoracic kyphoscoliosis, and marked bowing deformities of the femur and tibia. Staged operative correction of bilateral lower limb deformities was performed. Multiple osteotomies were conducted at the apex of the deformities, followed by intramedullary stabilization of the femur and tibia using Rush rods. Postoperatively, hip spica immobilization was maintained for six weeks after each procedure, followed by gradual rehabilitation and…
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Effectiveness of Bisphosphonates and Denosumab on Risk of Vertebral Fractures in Prostate Cancer Patients Under Androgen Deprivation Therapies: A Real-World Prospective Study
- Osteoporosis-related fractures after spinal cord injury: a retrospective study from Brazil
- Serum 25-hydroxyvitamin D, parathyroid hormone, and mortality in older men
- Lack of Association between Vitamin D Insufficiency and Cardiovascular or Fracture Risk: A UK Biobank Study
- Muscle strength and body composition are clinical indicators of osteoporosis
- Incidence of bone protection and associated fragility injuries in patients with proximal femur fractures
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.