{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:23Z","timestamp":1787755163554,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 12-year-old skeletally immature girl presented with 1 year of persistent instability after an open reduction and internal fixation (ORIF) for a posterior cruciate ligament (PCL) avulsion fracture. With a period of nonoperative management, her PCL stress radiographic measurements significantly decreased and her posterior tibial slope increased because the primary ORIF effectively led to growth arrest with an early fusion of the posterior tibial physis. At age 13 years when she was skeletally mature, revision PCL and fibular collateral ligament (FCL) reconstructions were performed. Promising clinical outcomes were observed at age 17 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatric patients with a failed PCL ORIF can successfully be managed with a period of nonoperative bracing and a revision PCL reconstruction once skeletally mature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00165","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T14:02:10Z","timestamp":1691589730000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of a Failed Posterior Cruciate Ligament Avulsion Fracture Fixation in a Skeletally Immature Patient"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-3047","authenticated-orcid":false,"given":"Jay","family":"Moran","sequence":"first","affiliation":[{"name":"Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2390-5163","authenticated-orcid":false,"given":"Morgan D.","family":"Homan","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2381-3704","authenticated-orcid":false,"given":"Christopher M.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Stanford Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4405-9234","authenticated-orcid":false,"given":"Nicholas I.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9823-2306","authenticated-orcid":false,"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s00402-002-0471-y","article-title":"Epidemiology of posterior cruciate ligament injuries","volume":"123","author":"Schulz","year":"2003","journal-title":"Arch Orthop Trauma Surg."},{"issue":"suppl 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laxity","volume":"36","author":"Jackman","year":"2008","journal-title":"Am J Sports Med."},{"issue":"2","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1177\/0363546518820302","article-title":"Tibial slope and its effect on force in anterior cruciate ligament grafts: anterior cruciate ligament force increases linearly as posterior tibial slope increases","volume":"47","author":"Bernhardson","year":"2019","journal-title":"Am J Sports Med."},{"issue":"5","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1177\/0363546519827958","article-title":"Tibial slope and its effect on graft force in posterior cruciate ligament reconstructions","volume":"47","author":"Bernhardson","year":"2019","journal-title":"Am J Sports Med."},{"issue":"2","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1177\/0363546518819786","article-title":"Decreased posterior tibial slope does not affect postoperative posterior knee laxity after double-bundle posterior cruciate ligament reconstruction","volume":"47","author":"Bernhardson","year":"2019","journal-title":"Am J Sports Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:34Z","timestamp":1787751514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00165"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00165","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}