Acute Correction of Acquired Genu Valgum Secondary to Post-Traumatic Growth Arrest at the Time of Distal Femur Fracture

J Am Acad Orthop Surg Glob Res Rev. 2026 Jan 14;10(1):e25.00333. doi: 10.5435/JAAOSGlobal-D-25-00333. eCollection 2026 Jan 1.

Abstract

A 14-year-old male patient sustained a distal femur fracture after a ground-level fall. His history was notable for severe acquired genu valgum secondary to a childhood lawnmower accident, which had required multiple limb salvage procedures including a Syme amputation and soft-tissue skin grafting. Acute correction of the limb deformity was performed concurrently with fracture fixation using a retrograde intramedullary nail and poller blocking screws. Retrograde intramedullary nailing represents a viable treatment option for simultaneous acute correction of acquired genu valgum and stabilization of distal femur fractures.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Adolescent
  • Bone Screws
  • Femoral Fractures* / complications
  • Femoral Fractures* / surgery
  • Femoral Fractures, Distal
  • Fracture Fixation, Intramedullary* / methods
  • Genu Valgum* / etiology
  • Genu Valgum* / surgery
  • Humans
  • Limb Salvage / methods
  • Male