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To address this challenge, this article describes an anterior horn pull\u2010in tunnel technique applicable to the bone plug fixation method. The key step of this technique involves, upon intraoperative identification of an oversized graft, arthroscopically advancing the anterior bone plug further into the tibial tunnel, drawing a portion of the meniscal tissue into the tunnel. This effectively reduces graft redundancy within the joint, eliminates folding, and restores the synovial margin to its normal position at the tibial plateau edge. This straightforward technique provides an effective intraoperative solution for adjusting graft size and optimizing fit without compromising the advantage of bone\u2010to\u2010bone healing.<\/jats:p>","DOI":"10.1002\/atn2.70190","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:33:13Z","timestamp":1785393193000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Anterior Horn Pull\u2010In Tunnel Technique for Managing Oversized Grafts in Lateral Meniscal Allograft Transplantation"],"prefix":"10.1002","volume":"15","author":[{"given":"Shixin","family":"Nie","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Sports Injury Division Fujian Medical University Union Hospital  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengjie","family":"Lian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sports 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