Prophylactic Cement Interposition During Management of Acute, Distal Femur Physeal Fracture: A Report of 2 Cases

Two patients sustained severe lower-extremity physeal trauma. The first patient suffered distal femoral/proximal tibial physeal disruption; the second patient sustained an open distal femoral physeal fracture. Both were treated with prophylactic cement interposition within the distal femur to reduce the risk of growth disturbance/physeal bar formation. Both demonstrated physeal growth without angular deformity or limb length discrepancy at follow-up (case 1: 2 years, case 2: 18 months).

Prophylactic cement interposition may prevent physeal bar formation following severe, distal femur physeal trauma and reduce the need for future corrective surgeries. Further studies are warranted to investigate long-term outcomes and complications of this technique.