What is the treatment or management for osteogenesis imperfecta?
To date, there is no known treatment, medicine, or surgery that will cure osteogenesis imperfecta (OI). The goal of treatment is to prevent deformities and fractures and allow the child to function as independently as possible. Treatments for preventing or correcting symptoms may include: Care of fractures.
What surgical intervention might be recommended for a child with osteogenesis imperfecta?
Some people with OI undergo surgery to correct bone deformities, including scoliosis and basilar invagination. A common surgical procedure for OI patients, “rodding,” is the placement of metal rods in the long bones of the legs. This strengthens them and helps prevent fractures. Some rods get longer as the legs grow.
What are some common therapies for osteogenesis imperfecta?
Although orthopedic intervention for osteogenesis imperfecta can include bracing to help protect the patient during physical activity and physical therapy, surgery with intramedullary (in-bone) fixation to correct deformity offers the greatest long-term benefit and protection against future fracture.
What medications do people with OI take?
Bisphosphonates are drugs that have been used off label for the treatment of osteogenesis imperfecta (OI). Drugs in this class may slow the loss of existing bones and may reduce long bone fractures and vertebral compressions. The most commonly used drug in this class is pamidronate.
What is a bone infusion for osteogenesis imperfecta?
Pamidronate strengthens the bone by increasing bone density and corrects the imbalance between bone reabsorption and bone formation which occurs in osteogenesis imperfecta (OI). Pamidronate infusions are most effective when they are given every six weeks in small children and three-monthly in older children.
What is rodding surgery?
Rodding surgery involves an operation to insert a straight metal rod, made of stainless steel, lengthwise into the middle section of the bone, known as the intramedullary canal. Rodding is usually carried out to the long bones of arms and legs, most commonly the thigh bone (femur) and shin bone (tibia).
What is the procedure for stabilizing a broken leg?
Cast immobilization, or special bracing can be used to stabilize the fracture. This is a common type of fracture treatment because most broken bones can heal successfully if they are realigned properly with the help of a cast or brace used to stabilize the bone.
Can osteogenesis imperfecta be treated?
There’s no cure for osteogenesis imperfecta. But a care team can help kids with problems related to the condition. If your child has brittle bone disease, the care team can include: a primary care provider (for routine health care)
What is a pamidronate infusion?
Pamidronate injection is in a class of medications called bisphosphonates. It works by slowing bone breakdown, increasing bone density (thickness) and decreasing the amount of calcium released from the bones into the blood.
What is Atticus Shaffer condition?
Shaffer has Osteogenesis Imperfecta, type IV, a genetic condition inherited from his mother, who has type I. He says that the disability is just a small part of who he is. He loves being a Boy Scout and especially enjoys going on camping trips and earning Merit badges.
What are 3 medical interventions that can be used to treat and repair broken bones?
The three main treatment options for bone fractures are: Casting. Open reduction, and internal fixation- this involves a surgery to repair the fracture-frequently, metal rods, screws or plates are used to repair the bone, and remain in place, under the skin, after the surgery.
Why is Atticus Shaffer so short?
Shaffer has type four osteogenesis imperfecta, a condition involving a defect in type 1 collagen, which causes fragile bones and short stature; he is 4′ 8″ (142 cm) tall. Shaffer is a Christian and as of 2018 had a daily Bible study with his mother, alternating between the Old and the New Testaments.
How old is Atticus Shaffer now?
24 years (June 19, 1998)Atticus Shaffer / Age
Is it necessary to remove rod from leg?
Is it necessary to remove rods and nails after treatment? Once the bone has fully healed, the rod/nail no longer serves a purpose and may be removed. This is typically done a year after the original surgery and can be an outpatient procedure (i.e., the patient does not stay in the hospital overnight after surgery).
When should surgical hardware be removed?
Certainly, the indication for hardware removal is unquestioned in patients with surgical site infection, metal allergy, soft tissue compromise or failure of the osteosynthesis [4].
What is the surgical management of fracture?
How should we treat Osteogenesis Imperfecta?
Osteogenesis imperfecta patients require an interdisciplinary and tailored treatment that involves both medical and surgical components. On the basis of the most recent surgical and medical findings, the authors recommend treating osteogenesis imperfecta patients early with bisphosphonates prior to …
Should bisphosphonates be used to treat Osteogenesis Imperfecta early?
On the basis of the most recent surgical and medical findings, the authors recommend treating osteogenesis imperfecta patients early with bisphosphonates prior to … Osteogenesis imperfecta patients require an interdisciplinary and tailored treatment that involves both medical and surgical components.
What is osteogenesis imperfecta?
Osteogenesis Imperfecta (OI) Osteogenesis imperfecta (OI) is a genetic bone disease. Babies born with it have bones that break easily, often for seemingly no reason. Babies who have milder forms of OI may live healthy lives into adulthood.
Should faisser-Duval rods be used to treat Osteogenesis Imperfecta?
On the basis of the most recent surgical and medical findings, the authors recommend treating osteogenesis imperfecta patients early with bisphosphonates prior to surgical intervention and then utilizing Faisser-Duval rods in a surgical setting to correct lower extremity deformities and fractures. Copyright © 2020 Wolters Kluwer Health, Inc.