Two cases of premature closure of the anterior portion of the proximal tibial physis with associated genu recurvatum deformity in adolescent males who had sustained a closed femur fracture are reported. In both cases, physeal closure occurred without use of a proximal tibial traction pin. In one patient, treatment included distal femoral pin traction; the other patient was treated with skin traction followed by spica cast. We believe that development of recurvatum of the tibia after femoral fracture in children is not necessarily iatrogenic and related to a tibial traction pin, but instead may result from physeal injury incurred at the time of the original trauma.

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
50% Article relates to my practice (2/4)
25% Article does not relate to my practice (1/4)
25% Undecided (1/4)

Will this article lead to more cost-effective healthcare?

50% Yes (2/4)
25% No (1/4)
25% Undecided (1/4)

Was this article biased? (commercial or personal)

0% Yes (0/4)
75% No (3/4)
25% Undecided (1/4)

What level of evidence do you think this article is?

0% Level 1 (0/4)
0% Level 2 (0/4)
50% Level 3 (2/4)
0% Level 4 (0/4)
50% Level 5 (2/4)