Abstract：
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.
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.
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.
摘要：
方法：一名12岁骨骼发育不成熟的女孩，在后交叉韧带（PCL）撕脱性骨折的切开复位内固定（ORIF）后，表现为1年的持续性不稳定。经过一段时间的非手术管理，她的PCL应力射线照相测量值显著降低,胫骨后斜率增加,因为原发性ORIF有效地导致生长停滞,胫骨后植骨早期融合.13岁时她骨骼成熟，进行PCL翻修和腓骨副韧带（FCL）重建。在17岁时观察到有希望的临床结果。
结论：PCLORIF失败的儿科患者一旦骨骼成熟，可以通过一段时间的非手术支撑和翻修PCL重建来成功治疗。
结论：PCLORIF失败的儿科患者一旦骨骼成熟，可以通过一段时间的非手术支撑和翻修PCL重建来成功治疗。
