{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T18:26:06Z","timestamp":1787250366767,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hamstring tendon autografts remain a popular choice for anterior cruciate ligament reconstruction due to their favorable biomechanical properties and reduced donor\u2010site morbidity; however, delayed tendon\u2010to\u2013bone integration and tunnel widening continue to limit outcomes when compared with bone\u2013patellar tendon\u2013bone grafts. Biological augmentation with autologous bone offers the potential to improve both the biological and mechanical environment at the graft\u2010tunnel interface. We describe a simple, reproducible, and cost\u2010effective surgical technique that utilizes cancellous bone harvested during tibial tunnel reaming to biologically and mechanically augment hamstring tendon anterior cruciate ligament reconstruction. Using a 10\u2010mL syringe sheath, bone reamings are collected, consolidated on the back table, and interposed within the graft and secured with circumferential 0\u2010Vicryl sutures. The graft is then sized, inserted, and fixed with a femoral EndoButton and tibial interference screw. This approach provides a biologically favorable and mechanically stable construct using autologous bone readily obtained during routine anterior cruciate ligament reconstruction. It offers a pragmatic means to promote tendon\u2010bone healing, enhance press\u2010fit fixation, and potentially reduce tunnel widening without additional graft harvest or biologic adjuncts.<\/jats:p>","DOI":"10.1002\/atn2.70071","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T11:20:06Z","timestamp":1778757606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous Cancellous Bone Interposition to Enhance Tendon\u2010Bone Integration in Hamstring Tendon Anterior Cruciate Ligament Reconstruction: A Surgical Technique"],"prefix":"10.1002","volume":"15","author":[{"given":"Cillian J.","family":"Keogh","sequence":"first","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Galway University Hospitals  Galway Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean O.","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Galway University Hospitals  Galway Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fintan J.","family":"Shannon","sequence":"additional","affiliation":[{"name":"Department of Trauma &amp; Orthopaedic Surgery Galway University Hospitals  Galway Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-022-03247-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07402-2"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04687-9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22966"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1653964"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmart.2021.03.003"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2021.756930"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58091193"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.07.001"},{"key":"e_1_2_6_11_1","first-page":"285","article-title":"Platelet\u2010rich plasma on prevention of tunnel enlargement in anterior cruciate ligament reconstruction","volume":"20","author":"S\u00f6zkesen S","year":"2018","journal-title":"Ortop Traumatol Rehabil."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221135770"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4204-0"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2009.04.003"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.02.009"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515570461"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-001-0267-6"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515584757"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211070291"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.19.00120"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70071","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:54:28Z","timestamp":1787248468000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/atn2.70071"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70071","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]},"assertion":[{"value":"2025-10-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70071"}}