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Establishing causality between delayed reconstruction and intra\u2010articular injury prevalence is difficult due to methodological limitations, specifically due to the limited feasibility of distinguishing injuries sustained at the time of PCL injury from those that develop during chronic PCL deficiency. We propose that future investigations benefit from rigorous documentation of baseline imaging timing and findings, thorough reporting of non\u2010surgical treatment protocols, and robust statistical methods. We recommend early PCL reconstruction for young, high\u2010demand patients with persistent functional instability or laxity despite structured rehabilitation, while patients with lower activity demands responding favorably to non\u2010surgical treatment may benefit from careful follow\u2010up with delayed reconstruction reserved for those developing recurrent instability.<\/jats:p>","DOI":"10.1002\/arj.70145","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T15:14:53Z","timestamp":1776957293000},"page":"932-934","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Evidence Remains Elusive Regarding the Causal Effect of Delayed Posterior Cruciate Ligament Reconstruction on Intra\u2010articular Injury Incidence Due to Persistent Knee 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