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The presence of cartilage and meniscal injuries was confirmed via arthroscopic evaluation. The status of cartilage was, meanwhile, graded intraoperatively according to the International Cartilage Repair Society classification. Multivariable logistic regression analyses were performed to identify independent risk factors associated with both any\u2010grade cartilage injuries and specifically high\u2010grade (grades III\u2010IV) cartilage injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1003 patients (787 males and 216 females) with a mean age of 33.18\u2009years who underwent primary PCLR were retrospectively reviewed. Longer time from injury to surgery, particularly exceeding 24\u2009months, was significantly associated with a higher risk of patellofemoral cartilage injury (odds ratio [OR], 1.794;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.016), lateral compartment cartilage injury (OR, 2.141;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.016), medial compartment cartilage injury (OR, 3.105;\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u2009.001), and medial meniscal injury (OR, 1.990;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.041) compared with PCLR performed within 3\u2009months of injury. Additionally, older age significantly increased the prevalence of all cartilage and meniscal injuries (\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u2009.001). Increased body mass index was independently associated with a higher incidence of patellofemoral cartilage injury (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006). Subgroup analysis revealed that patients with time from injury to surgery exceeding 24\u2009months reported higher preoperative visual analog scale scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incidence of concomitant injuries were 43.87% for patellofemoral cartilage, 10.87% for lateral compartment cartilage, 15.15% for medial compartment cartilage, 8.28% for lateral meniscus, and 10.47% for medial meniscus. Furthermore, delayed PCLR, especially beyond 24 months postinjury, coupled with older age and higher body mass index, were all crucial factors related to a higher prevalence of cartilage and meniscal injuries following grade III PCL injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70147","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T15:14:07Z","timestamp":1776957247000},"page":"923-931","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Delayed Posterior Cruciate Ligament Reconstruction, Older Age, and Higher Body Mass Index Are Associated With an Increased Prevalence of Concomitant Cartilage and Meniscal Injuries"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1604-3120","authenticated-orcid":false,"given":"Wenbin","family":"Bai","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9305-6158","authenticated-orcid":false,"given":"Cheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University  Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries  Beijing China"},{"name":"Engineering Research Center of Sports Trauma 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