Z-osteotomy for uniplanar femoral shaft deformity correction in an adolescent with osteogenesis imperfecta

Faris Indra Prahasta Bin Didi Indra; Anuar Ramdhan Bin Ibrahim; Mohamad Zaki Bin Mohd Amin

doi:10.1016/j.mjafi.2022.04.008

Z-osteotomy for uniplanar femoral shaft deformity correction in an adolescent with osteogenesis imperfecta

Med J Armed Forces India. 2024 Mar-Apr;80(2):227-233. doi: 10.1016/j.mjafi.2022.04.008. Epub 2022 Jun 27.

Authors

Faris Indra Prahasta Bin Didi Indra¹, Anuar Ramdhan Bin Ibrahim¹, Mohamad Zaki Bin Mohd Amin¹

Affiliation

¹ Orthopaedic Surgeon & Lecturer, Faculty of Medicine & Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.

PMID: 38525453
PMCID: PMC10954506 (available on 2025-03-01)
DOI: 10.1016/j.mjafi.2022.04.008

Abstract

Osteogenesis imperfecta (OI) is commonly associated with fragility fractures. It is due to abnormality in the quantity and quality of collagen type 1 caused by mutations in COL1A1 and COL1A2 genes. Patients with OI would also have blue sclera, ligament hyperlaxity, dentinogenesis imperfecta, hearing abnormality, and short stature. Surgical management is preferred to conservative treatment in long bone fractures. For malunited fractures, Sofield-Millar or multiple osteotomies at different sites of deformities are performed with additional intramedullary device to stabilize the bone. This is a case of femur fracture with multilevel CORAs in an adolescent patient with post-trauma OI in which z-osteotomies were performed and stabilized with titanium elastic nails resulting in good outcomes clinically and radiologically.

Keywords: Deformity correction; Femur fracture; Osteogenesis imperfecta; Titanium elastic nails; Z-osteotomy.

Publication types

Case Reports