{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:51:19Z","timestamp":1777881079635,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anterior cruciate ligament (ACL) injuries of the knee in skeletally immature patients are increasingly prevalent, yet limited data exist regarding the mechanical properties of pediatric knee ligaments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate and compare the biomechanical properties of the ACL, posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), and iliotibial band (ITB) in pediatric cadaveric knee specimens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Controlled laboratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Eighteen fresh-frozen pediatric knee specimens (aged 8-12 years) underwent dissection and uniaxial tensile testing to failure. Mechanical parameters, including maximum load, stiffness, linear modulus, tensile strain, and tensile strength, were calculated. Results were analyzed using linear mixed-effects models with Tukey-adjusted\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      values.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The ITB demonstrated comparable mechanical properties to the ACL and MCL. The ITB also exhibited lower stiffness than the PCL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004) and a higher maximum load than the LCL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The ITB shows biomechanical properties similar to the ACL and MCL, supporting its use as a graft in pediatric knee ligament reconstruction. These findings enhance the understanding of pediatric ligament mechanics and inform graft selection in surgical planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>The study highlights the ITB's biomechanical similarity to the ACL, informing graft selection for ACL reconstruction in pediatric patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251407091","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T15:43:05Z","timestamp":1771602185000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mechanical Properties of Pediatric Knee Ligaments: A Cadaveric Study"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4295-9450","authenticated-orcid":false,"given":"Marcel","family":"Sanchez","sequence":"first","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2046-3905","authenticated-orcid":false,"given":"Nneoma O.","family":"Duru","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anshal","family":"Gupta","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hunter","family":"Storaci","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calvin","family":"Chan","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Pham","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Rohde","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Khoo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1675-163X","authenticated-orcid":false,"given":"Amin","family":"Alayleh","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth","family":"Sherman","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Stanford University, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry B.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-3150","authenticated-orcid":false,"given":"Marc","family":"Tompkins","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Wilson","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7286-6864","authenticated-orcid":false,"given":"Daniel","family":"Green","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore J.","family":"Ganley","sequence":"additional","affiliation":[{"name":"Sports Medicine &amp; 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