Key result
Early ligamentous repair of posterior cruciate ligament avulsion associated with ipsilateral femur fracture in children is recommended over later reconstruction.
Case Report (n=1)
Highlights the importance of complete examination of fractured femurs in children to identify and promptly repair rare posterior cruciate ligament avulsions.
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May support early repair in pediatric PCL avulsion with femur fracture; hypothesis-generating case report leaves optimal timing open.
Ligamentous injuries to the knee do occur in children with open physes. Rarely, the posterior cruciate ligament may be involved and prompt attention to repair when recognized is encouraged. While avulsion occurs, more commonly, from the femoral insertion of the posterior cruciate, the tibial origin may be the site of injury, as in this case report. Complete examination of fractured femurs in children is therefore necessary. Early ligamentous repair is superior to later reconstruction.
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Goodrich et al. (1988) conducted a case report in Posterior cruciate ligament avulsion associated with ipsilateral femur fracture (n=1). Early ligamentous repair was evaluated. Early ligamentous repair of posterior cruciate ligament avulsion associated with ipsilateral femur fracture in children is recommended over later reconstruction.
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