Titanium Elastic Nails Successfully Splint Subsequent Femoral Fractures in a Child with Osteogenesis Imperfecta
The current trend in the management of fractures in children with osteogenesis imperfecta (OI) is the use of expandable nails. These may not be widely available in resource- constrained settings. We report a case of a 9 year old female with a peri-prosthetic fracture treated with premeasured pre-contoured titanium elastic nails allowing rapid mobilization. The nails also provided adequate splintage to subsequent proximal fractures of the same femur a few months later, obviating need for further surgeries. Titanium elastic nails without fl uoroscopy are an option for treating fractures in children with OI for the average orthopaedic surgeon in the developing world.