Overcoming Barriers in the Surgical Management of Osteogenesis Imperfecta: Insights From a 13-Year Retrospective Cohort.

Osteogenesis imperfecta (OI) is a rare genetic disorder characterized by bone fragility and reduced bone mass. This retrospective study analyzed 42 cases of OI treated at the pediatric traumatology and orthopedics department over a 13-year period. The study aimed to examine the clinical and radiological aspects associated with osteosynthesis, particularly telescopic nailing, in these patients. Patients were grouped by treatment type, and outcomes, including fracture frequency, deformity recurrence, need for reintervention, and functional status, were compared. Results showed that telescopic nailing significantly reduced the number of fractures, deformities, and reinterventions compared to traditional rodding techniques. The study concludes that telescopic nails are beneficial in preventing deformities and fractures while allowing normal growth, making them the preferred method for managing patients with OI.