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An 8-year-old female with osteogenesis imperfecta had severe anterior bowing of the tibia and recurrent fractures (A). This case failed nonoperative management with a brace. The patient underwent a 2-level open tibial osteotomy with placement of a Fassier–Duval telescoping rod (B). The patient is now over 1 year out from surgery. Note the increased growth and telescoping of the rod (C – red arrow). The osteotomies have healed well, and the patient is currently asymptomatic.
