This review assesses the outcomes of hemiepiphysiodesis in patients with idiopathic genu valgum (IGV) treated with physeal staples vs tension-band plating (TBP). A systematic review of the literature was conducted to identify articles examining the use of physeal staples vs TBP for the treatment of IGV in skeletally immature patients. No significant difference in overall mean deformity correction (P=.92) or correction per month (P=.61) was observed between groups. Repeat hemiepiphysiodesis was more common in patients who underwent TBP vs physeal staples (P=.05). Tension-band plating did not yield significantly improved results compared with physeal staples in skeletally immature patients with IGV.