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Greenville Reporter

Friday, January 17, 2025

Telescoping rod surgery aids young patient with brittle bone disease

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Ronnie Sloan, FACHE President, Outer Banks Health | ECU Health

Ronnie Sloan, FACHE President, Outer Banks Health | ECU Health

Joshua Thomas, a seven-year-old with a severe form of Osteogenesis Imperfecta (OI), is making strides thanks to innovative surgery. Despite his condition, which makes his bones fragile and prone to fractures, Joshua remains active and full of life.

“Joshua is full of life,” said Shakeema Thomas, his mother. “Even with everything he’s been through, he’s very active.”

Brittle bone disease affects approximately 25,000 to 50,000 people in the U.S., according to the National Institute of Health. Joshua has suffered about ten femur fractures from falls or simple movements like repositioning in bed.

Shakeema shared that Joshua has broken the same femur bone around ten times. After another fracture, they sought help from Dr. Michael Firtha at ECU Health. Dr. Firtha had previously treated both Joshua and his brother for multiple fractures related to OI.

“Displaced femur fractures in kids with osteogenesis imperfecta are difficult problems with limited options,” explained Dr. Firtha. “You have to consider fixing the bone, allowing continued growth and preventing future fractures in the same area.”

Past treatments involved casts that did not prevent new injuries. Seeking a better solution, Dr. Firtha implanted a telescoping metal rod into Joshua's leg—a first for ECU Health.

“This technology is a game-changer,” stated Dr. Firtha. “It lets us fix the bone, promote healing and ensure Joshua’s growth isn’t compromised."

The results have been promising; recent minor falls that would have caused breaks did not lead to any fractures this time.

“We’re so grateful for the care Joshua has received," said Shakeema Thomas. "He’s doing well so far, and he’s completing physical therapy now every day to get stronger.”

Joshua's experience highlights how advanced techniques can enhance life quality for those with rare conditions.

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