Osteogenesis imperfecta: surgical treatment options with emphasis on today’s orthopedic approach

Abstract

The treatment of osteogenesis imperfecta should be multidisciplinary and personalized. The best option for surgical treatment isimplantation of an intramedullary telescopic nail, in many specialized hospitals the preferable method is Fassier-Duval telescopicnail. The main advantages of the Fassier-Duval intramedullary nail are fewer surgical scars, reduced blood loss, decreased time ofoperation, less pain, and better postoperative mobility. Orthopedic surgeons who are dealing with osteogenesis imperfecta have toanswer two main questions, i.e. when to start with surgical procedures and which type of intramedullary nailing to use. There are afew things that are necessary for a satisfactory outcome of the surgical procedure: precise preoperative planning, all sizes of Fassier-Duval nail available in the operating room during the surgery, and intraoperative radiologic C-arm guidance.Key words: osteogenesis imperfecta, Fassier-Duval, personalized and multidisciplinary approach