Unique Considerations of the Adult with Osteogenesis Imperfecta

  • Guus J. M. JanusEmail author
  • Anton A. M. Franken
  • Arjan G. J. Harsevoort
  • Anne Marieke V. Dommisse


The treatment of the adult with osteogenesis imperfecta begins with the vulnerable transition phase from childhood to adulthood and also after trauma or injury. Rehabilitation physicians and therapists play a decisive role in planning and executing care and prescribing therapeutic exercise. Optimal medical treatment may include dietary calcium, vitamin D, bisphosphonates and anabolic agents to optimize bone quality. Fracture management focuses on lightweight splints and early return to function when possible. Unique surgical concerns in the adult include the needs to assess comorbidities, propensity to non-union, difficulty in achieving limb alignment and degenerative arthritis. Surgical treatment is complicated by the existence of long-standing deformity, and specific achievable goals need to be understood by patient and surgeon.


Adult Medical care Transition Rehabilitation Fracture management Surgical technique 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Guus J. M. Janus
    • 1
    Email author
  • Anton A. M. Franken
    • 2
  • Arjan G. J. Harsevoort
    • 1
  • Anne Marieke V. Dommisse
    • 3
  1. 1.Department of OrthopaedicsIsala ZwolleZwolleThe Netherlands
  2. 2.Department of Internal MedicineIsala ZwolleZwolleThe Netherlands
  3. 3.Department of Rehabilitation MedicineIsala ZwolleZwolleThe Netherlands

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