{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:08:29Z","timestamp":1789204109018,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Tunnel enlargement is a common challenge in revision anterior cruciate ligament reconstruction and compromises graft fixation and biological integration. Traditional 2\u2010stage revision procedures prolong treatment duration and increase patient morbidity. We describe a technique using autologous cancellous bone harvested from the ipsilateral iliac crest to restore femoral and tibial tunnel bone stock after anterior cruciate ligament reconstruction failure. This technique focuses on managing tunnel enlargement and prepares the tunnels for subsequent anterior cruciate ligament revision. Arthroscopic impaction of autologous bone restores tunnel geometry and provides a favorable biological environment for fixation. In selected patients, this approach may shorten rehabilitation time and eliminate the need for staged surgery.<\/jats:p>","DOI":"10.1002\/atn2.70248","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:01:16Z","timestamp":1789203676000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous Iliac Crest Bone Graft After Anterior Cruciate Ligament Reconstruction Failure in Patients With Both Femoral and Tibial Tunnel Enlargement"],"prefix":"10.1002","author":[{"given":"Aoqiu","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital, Central South University  Changsha, Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuchen","family":"He","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital, Central South University  Changsha, Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiqi","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital, Central South University  Changsha, Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital, Central South University  Changsha, Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8469-4980","authenticated-orcid":false,"given":"Weihong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital, Central South University  Changsha, Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1093\/bmb\/ldac011","article-title":"Ligament advanced reinforcement system (LARS) synthetic graft for PCL reconstruction: Systematic review and meta\u2010analysis","volume":"143","author":"Migliorini F","year":"2022","journal-title":"Br Med Bull"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s43465-020-00328-8","article-title":"Revision ACL reconstruction: Principles and practice","volume":"55","author":"Tapasvi S","year":"2021","journal-title":"Indian J Orthop."},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"e1917","DOI":"10.1016\/j.eats.2020.08.024","article-title":"Economic reliable technique for tunnel grafting using iliac crest bone graft in two\u2010staged revision anterior cruciate ligament surgery","volume":"9","author":"Abdel\u2010Aziz A","year":"2020","journal-title":"Arthrosc Tech"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.arthro.2014.11.032","article-title":"Synthetic devices for reconstructive surgery of the cruciate ligaments: A systematic review","volume":"31","author":"Batty LM","year":"2015","journal-title":"Arthroscopy."},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1016\/j.knee.2018.08.015","article-title":"One\u2010stage revision anterior cruciate ligament reconstruction in cases with excessive tunnel osteolysis. Results of a new technique using impaction bone grafting","volume":"25","author":"Demyttenaere J","year":"2018","journal-title":"Knee."},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"5288","DOI":"10.1016\/j.arthro.2025.08.014","article-title":"Editorial commentary: Remnant\u2010preserving anterior cruciate ligament reconstruction shows long\u2010term advantages, but patient selection, characterization of remnant tissue, and efficacy in patients at risk of postoperative knee instability are areas for future investigation","volume":"41","author":"Moran J","year":"2025","journal-title":"Arthroscopy."},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1177\/0363546519841583","article-title":"Two\u2010stage revision anterior cruciate ligament reconstruction: A systematic review of bone graft options for tunnel augmentation","volume":"48","author":"Salem HS","year":"2019","journal-title":"Am J Sports 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Surg."},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1186\/s13018-021-02624-x","article-title":"Patellar tendon versus artificial grafts in anterior cruciate ligament reconstruction: A systematic review and meta\u2010analysis","volume":"16","author":"Fan D","year":"2021","journal-title":"J Orthop Surg Res."},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"e1155","DOI":"10.1016\/j.asmr.2021.05.003","article-title":"No difference in outcomes between suspensory (fixed\u2010loop cortical button) versus expandable anteromedial femoral fixation in anterior cruciate ligament reconstruction with autologous hamstring tendons: A prospective, randomized, controlled study in male patients","volume":"3","author":"Panagopoulos A","year":"2021","journal-title":"Arthrosc Sports Med Rehabil"},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/bmb\/ldae011","article-title":"Bone\u2013patellar tendon\u2013bone, hamstring, and quadriceps tendon autografts for anterior cruciate ligament reconstruction in skeletally immature patients: A systematic review","volume":"152","author":"Migliorini F","year":"2024","journal-title":"Br Med Bull"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"4708","DOI":"10.1016\/j.arthro.2025.07.018","article-title":"Editorial commentary: Preservation of the ruptured anterior cruciate ligament\u2010evidence of ligamentous maturation after primary repair","volume":"41","author":"Mueller MM","year":"2025","journal-title":"Arthroscopy."}],"container-title":["Arthroscopy 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