{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:24:38Z","timestamp":1789399478784,"version":"build-2803163510"},"reference-count":20,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2021,4,4]],"date-time":"2021-04-04T00:00:00Z","timestamp":1617494400000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,17]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>This is a case of a 54-year-old woman managed as a case of osteogenesis imperfecta type 1 who sustained a left subtrochanteric fracture and eventual ankylosis of both hips after surgery and immobilisation. These injuries rendered her bedridden, maximally assisted in transitions and transfers, and unable to be positioned past 30\u00b0 of backrest elevation. The patient underwent a bilateral Girdlestone procedure and had tailored progressive postoperative rehabilitation in both the inpatient and outpatient settings. The patient also continued to receive bisphosphonates during her preoperative and postoperative period, to improve bone stock and aid in relieving pain. Through the efforts of a team of physiatrists, geneticists and orthopaedic surgeons, the patient was able to achieve pain-free sitting, independent transitions and short-distance ambulation, which have allowed her to care for herself more effectively and return to her work and activities of daily living.<\/jats:p>","DOI":"10.1136\/bcr-2020-239884","type":"journal-article","created":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T11:30:14Z","timestamp":1617622214000},"page":"e239884","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Functional outcomes of an adult with osteogenesis imperfecta after rehabilitation post bilateral Girdlestone procedure"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9753-505X","authenticated-orcid":false,"given":"Isabella","family":"Supnet","sequence":"first","affiliation":[{"name":"Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joycie Eulah","family":"Abiera","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Melanie Liberty","family":"Alcausin","sequence":"additional","affiliation":[{"name":"Pediatrics, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo Emmanuel","family":"Sumpaico","sequence":"additional","affiliation":[{"name":"Orthopedics, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"2025082622520978000_14.4.e239884.1","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.bonr.2018.04.009","article-title":"Adults with osteogenesis imperfecta: clinical characteristics of 151 patients with a focus on bisphosphonate use and bone density measurements","volume":"8","author":"Scheres","year":"2018","journal-title":"Bone Rep"},{"key":"2025082622520978000_14.4.e239884.2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.bone.2018.05.021","article-title":"A comparative study of quality of life, functional and bone outcomes in osteogenesis imperfecta with bisphosphonate therapy initiated in childhood or adulthood","volume":"113","author":"Feehan","year":"2018","journal-title":"Bone"},{"key":"2025082622520978000_14.4.e239884.3","doi-asserted-by":"crossref","unstructured":"Trovato MK , Schultz SC , Joseph C . 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Indications and Results About 24 Cases","volume":"12","author":"Sawadogo","year":"2018","journal-title":"Open Orthop J"},{"key":"2025082622520978000_14.4.e239884.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-004-0633-3"},{"key":"2025082622520978000_14.4.e239884.8","unstructured":"Tanchev P . Does anyone have experience with bilateral Girdlestone hips after removal of infected THR? [Internet]. ResearchGate Q&A, 2014. Available: https:\/\/www.researchgate.net\/post\/Does_anyone_have_experience_with_bilateral_Girdlestone_hips_after_removal_of_infected_THR [Accessed cited 2019 Jan 23]."},{"key":"2025082622520978000_14.4.e239884.9","doi-asserted-by":"crossref","unstructured":"Lysack CL . Household and Neighborhood Safety, Mobility. In: Handbook of Assessment in Clinical Gerontology [Internet]. Elsevier, 2010: 619\u201346.","DOI":"10.1016\/B978-0-12-374961-1.10023-5"},{"key":"2025082622520978000_14.4.e239884.10","unstructured":"Yamamoto PA , Lahoz GL , Takata ET , et al . Evaluation of the function and quality of life of patients submitted to Girdlestone\u2019s Resection Arthroplasty. Acta Ortop Bras 2007;4."},{"key":"2025082622520978000_14.4.e239884.11","unstructured":"Kurapati N , Boerigter R , Sumpaico C , et al . Lower body gait kinematics in mild-to-moderate vs. severe osteogenesis imperfecta in southeastern Asia. Proc Biomed Eng Soc 2017;215."},{"key":"2025082622520978000_14.4.e239884.12","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1002\/jbmr.2920","article-title":"Fracture rates and fracture sites in patients with osteogenesis imperfecta: a nationwide register-based cohort study","volume":"32","author":"Folkestad","year":"2017","journal-title":"J Bone Miner Res"},{"key":"2025082622520978000_14.4.e239884.13","doi-asserted-by":"crossref","unstructured":"Dwan K , Phillipi CA , Steiner RD . Bisphosphonate therapy for osteogenesis imperfecta. Cochrane cystic fibrosis and genetic disorders group, editor. 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