Background and aim Osteogenesis imperfecta (OI) is a hereditary disorder that mainly affects the bones. Bones break easily. The severity may be mild to severe. OI includes short height, a blue tinge to the sclera of the eye, loose joints, breathing problems, hearing loss, and problems with the teeth. Complications may include aortic and cervical artery dissection, and our study aims to evaluate the results of the management of OI with telescoping nails in growing children. Patients and methods This case series study was conducted at Al-Azhar University Hospital, Assuit; 20 patients with OI were included in this study. They underwent telescopic nail osteosynthesis. Result The functional score of the studied sample shows that the highest functional score frequency was 2–5 and 3–6 (15 and 15%, respectively). Radiological scores show that the majority had a score of 11 (95.0%), telescoping of the studied sample shows that 19 (95.0%) had telescoping. Conclusion The treatment of multiple fractures and severely deformed long bones due to OI by the telescoping nail of the Fassier–Duval generation is one of the best choices. One of the challenging problems of OI cases is the late presentation; another challenging problem in such cases is that the growing mechanism is still present.
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