Femoral Shaft Nonunion in Adult Type 3 Osteogenesis Imperfecta Managed With Patient-Specific 3-Dimensional Planning: A Case Report.

Authors

Ryan Le Jie Chiew, Yong Yao Tan, Yew Lok Woo

Published in

JBJS case connector. Volume 16. Issue 3. Jul 01, 2026. Epub Aug 21, 2026.

Abstract

Osteogenesis imperfecta (OI) predisposes patients to fractures and nonunion due to poor bone quality and deformity. We report successful management of femoral shaft nonunion using patient-specific 3-dimensional (3D) planning in a patient with OI. A 30-year-old woman with type 3 OI presented with an atraumatic femoral fracture progressing to nonunion. There was a severe deformity with narrow canal that complicated fixation. Preoperative 3D modelling guided corrective osteotomy and intramedullary fixation. She achieved pain resolution, functional recovery, and radiographic union at 12 months postoperatively.
Patient-specific 3D planning facilitates surgical decision-making and enables successful reconstruction in complex OI nonunion cases.

PMID:
42627950
Bibliographic data and abstract were imported from PubMed on 22 Aug 2026.

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