Secondary deformity after treatment of pediatric fragmental distal femoral metaphyseal fracture: a case report and review of the literature

We conducted a systematic review of the management strategies for pediatric fragmental distal femoral fractures complicated by secondary deformities, incorporating a literature search of PubMed-indexed studies. Our analysis underscores the necessity of prioritizing growth plate preservation during initial treatment. Critical postoperative outcomes include restoring knee range of motion and achieving symmetrical femoral length recovery, which are paramount for minimizing long-term functional deficits.