Barw Barw Medical Journal 2960-1959 3 3 2025 04 29 The Effect of Clinical Knee Measurement in Children with Genu Varus 10.58742/bmj.v3i3.176 eng Kamal Jamil Department of Orthopaedic and Traumatology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia. kamal.jamil@gmail.com Chong YT Department of Orthopaedic and Traumatology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia. chong.yt12@gmail.com Ahmad Fazly Abd Rasid Department of Orthopaedic and Traumatology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia. ahmad.rasid@gmail.com Abdul Halim Abdul Rashid Department of Orthopaedic and Traumatology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia. abdul.rashd@gmail.com Lawand Ahmed Department of Orthopaedics and Traumatology, Shorsh General Hospital, Sulaymaniyah, Iraq. lawand.3m@gmail.com 2025 04 03 Introduction Children with genu varus needs frequent assessment and follow up that may need several radiographies. This study investigates the effectiveness of the clinical assessment of genu varus in comparison to the radiological assessment. Methods In this study, relationship between clinical and radiographic assessments of genu varus (bow leg) in children, focusing on the use of intercondylar distance (ICD) and clinical tibiofemoral angle (cTFA) as clinical measures, compared to the mechanical tibiofemoral angle (mTFA) obtained via scanogram, the radiographic gold standard for assessing lower limb deformity. Clinical measurements (ICD and cTFA) were gathered along with the mTFA from scanogram radiographs. Reliability was tested between two observers, and Spearman’s correlation coefficient was used to evaluate the relationships between the clinical and radiographic measurements. Results The study involved 36 children with an average age of 6.3 years. There were strong intra-rater reliability for both observers (ICC 0.87 for observer 1, ICC 0.97 for observer 2) and excellent inter-observer agreement (ICC 0.97). Positive correlations were found between cTFA and mTFA (r² = 0.67, p < 0.001), between ICD and cTFA (r² = 0.53, p < 0.001), and between ICD and mTFA (r² = 0.62, p < 0.001). Conclusion This study suupports the idea that clinical methods may be sufficient for evaluation, minimizing the need for radiation exposure and offering a reliable alternative to radiography.