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July 1, 2025International Journal of Orthopaedics SciencesOpen Access

Femoral shaft fracture in a non-ambulatory child with osteogenesis imperfecta and meningomyelocele: A rare clinical intersection managed with titanium elastic nailing system (TENS)

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Authors

NSN. ShashidharRSRavi SreenivasanMPMohit Kumar Patralekh

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Overview

Case report demonstrates successful fracture stabilization using elastic titanium nails in a child with osteogenesis imperfecta and paraparesis, highlighting the utility of intramedullary fixation.

Key Points

  • To report the surgical management and rehabilitation outcomes of a spontaneous femoral shaft fracture in a non-ambulatory child with concurrent osteogenesis imperfecta and meningomyelocele.
  • Evaluated a 12-year-old male presenting with paraparesis, generalized osteopenia, Wormian bones, dentinogenesis imperfecta, and an acute femoral shaft fracture (N=1).
  • Conducted open reduction and retrograde stabilization using a double Titanium Elastic Nailing System (TENS), followed by bisphosphonate therapy and early passive knee rehabilitation.
  • Achieved stable internal fixation and satisfactory anatomical alignment of the femoral shaft without hardware failure or loss of reduction.
  • Preserved baseline functional status through post-surgical passive mobilization and multidisciplinary medical management.

Cite This Study

Shashidhar et al. (2025) studied this question.

synapsesocial.com/papers/6a73aa67ce5bb8565d4ca0c4https://doi.org/10.22271/ortho.2025.v11.i3b.3799
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Management Of Femoral Shaft Fracture In Osteogenesis Imperfecta: A Case Study2025
  2. 2Management of Combined Fracture Neck of Femur and Femoral Deformity in Osteogenesis Imperfecta Patient: A Case Report2024
  3. 3Operatively Treated Pelvic Ring Fractures in Adult Patient with Osteogenesis Imperfecta after Traumatic Injury: A Case Report2026
  4. 4Functional outcome of femoral shaft fracture in pediatric patients treated by titanium elastic nailing system2024
  5. 5Intramedullary telescopic nailing method applied in cases with osteogenesis imperfecta and our results2025