Intramedullary Nailing with Supplemental Plate and Screw Fixation of Long Bones of Patients with Osteogenesis Imperfecta: Operative Technique and Early Results

Abstract

Purpose The diagnosis of osteogenesis imperfecta (OI) includes a genotypically and phenotypically heterogeneous group of inherited disorders characterized by brittle bones, fractures and skeletal deformity. Although intramedullary fixation is the standard form of surgical fixation of the long bones of children with OI, it remains fraught with complications. Implant breakage, implant cut out, long bone fracture, non-union and rod bending have all been described as complications of intramedullary long bone fixation in children with OI. Supplemental fixation techniques represent an attempt to decrease these risks of surgical implant failure of intramedullary devices. A supplemental plate and screw …