{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:47Z","timestamp":1787755787316,"version":"build-2784847793"},"reference-count":58,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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 13-year-old adolescent boy presented with chronic anterior cruciate ligament (ACL) insufficiency and prior medial meniscectomy. Radiographic evaluation revealed a posterior tibial slope (PTS) of 20\u00b0, putting him at high risk of reinjury following ACL reconstruction (ACLR). Guided growth using anteriorly placed eight plates was used for 9 months, which reduced his PTS to 6\u00b0. Two months following plate removal, the patient underwent ACLR with lateral extra-articular tenodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This previously proposed but never reported approach suggests that guided growth is a viable option to correct excessive PTS before ACLR in skeletally immature patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00536","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T14:01:02Z","timestamp":1740060062000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Guided Growth for Posterior Tibial Slope Correction Followed by ACL Reconstruction in an Adolescent 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