Valgus deformity following proximal metaphyseal fractures in children: experiences in the African tropics.

Three cases of valgus deformity following proximal metaphyseal fractures of the tibia in childhood are reported. All the cases seen required corrective osteotomies for management. In one case, a 4-year-old girl, recurrence was noted to have occurred despite the corrective osteotomy. Subsequent revision and suturing of the pes anserinus tendon plate was considered to be pertinent in the eventual correction and prevention of recurrence obtained. Although conservative management technics and the possibility of spontaneous correction are also considered in the management of the ailment, the role of the pes anserinus tendon plate is highlighted in terms of loss of its tethering effect and medial overgrowth due to hemichondrodiastasis. Primary repair by removal of the infolding of the periosteum into the fracture space and resuturing of same is the proposed method of management.