Operative Management of Pediatric Physeal Bar Development and Genu Valgum

• Published in: Orthopedic Reviews Vol. 16; p. 121975
• Main Authors: Naseer, Shahrukh, Zamzam, Mazen, Zakko, Philip, Saleh, Ehab S
• Format: Journal Article
• Language: English
• Published: United States Open Medical Publishing 01-01-2024
• Subjects: physeal bar; genu valgum; pediatric long bone fracture; o-arm; pediplate
• ISSN: 2035-8164; 2035-8237; 2035-8164
• DOI: 10.52965/001c.121975

Pediatric orthopedic conditions present unique challenges due to ongoing skeletal growth and development. Managing these cases requires addressing both structural anomalies and functional deficits.
This case report discusses a 13-year-old male with recurrent left knee pain exacerbated by physical activity. The patient's history of a left knee infection at 1.5 years of age, possibly septic arthritis or osteomyelitis, underscores the long-term consequences of early pathology on skeletal growth and alignment. Imaging studies revealed a distal lateral femur physis bar and genu valgum, necessitating surgical intervention.
The surgery involved medial distal femur hemiepiphysiodesis and lateral distal femur bar excision to correct anatomical deformities and restore optimal limb alignment and function. Postoperative rehabilitation, including targeted exercises to improve quadriceps strength, was crucial for functional recovery and reducing the risk of complications such as medial patellofemoral pain.
This case highlights the importance of a multidisciplinary approach in managing complex pediatric orthopedic cases.