{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:44:40Z","timestamp":1792583080557,"version":"4.5.0"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"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>The bone\u2013patellar tendon\u2013bone autograft remains a common and often first\u2010choice option for anterior cruciate ligament reconstruction. Nevertheless, a subset of patients suffer from chronic anterior knee pain at the site of graft harvest. Although prior literature has indicated that backfilling of the patellar and tibial defects decreases the risk of donor site pain, sourcing and harvesting of the graft material, as well as the management of the paratenon and underlying tendon defect, remains variable. This technical note and associated video describe our preferred technique for the backfilling of these defects using both bone and soft\u2010tissue grafts, with paratenon preservation to improve containment and potentially incorporation of grafted material.<\/jats:p>","DOI":"10.1002\/atn2.70318","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:21:23Z","timestamp":1792581683000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Backfilling Patellar and Tibial Harvest Sites Using Autologous Bone Reamings and Anterior Cruciate Ligament Remnant Tissue During Bone\u2013Patellar Tendon\u2013Bone Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8316-646X","authenticated-orcid":false,"given":"Jack H.","family":"Kramer","sequence":"first","affiliation":[{"name":"University of Illinois College of Medicine  Rockford Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0939-7603","authenticated-orcid":false,"given":"Donovan A.","family":"Bronstein","sequence":"additional","affiliation":[{"name":"The Steadman Clinic  Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia M.","family":"Jochl","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddie K.","family":"Afetse","sequence":"additional","affiliation":[{"name":"Wake Forest School of Medicine  Winston Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel R. G.","family":"Lind","sequence":"additional","affiliation":[{"name":"The Steadman Clinic  Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1892-3378","authenticated-orcid":false,"given":"Joseph J.","family":"Ruzbarsky","sequence":"additional","affiliation":[{"name":"The Steadman Clinic  Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1002\/ksa.70167","article-title":"Graft selection in ACL reconstruction: Clinical and functional outcomes based on level I to II evidence","volume":"34","author":"Hasan M","year":"2026","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"2543","DOI":"10.1177\/0363546519867913","article-title":"Complications after anterior cruciate ligament 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grafting does not reduce anterior knee pain after bone\u2010patellar tendon\u2010bone anterior cruciate ligament reconstruction","volume":"33","author":"Martorell\u2010de Fortuny L","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_5_13_1","doi-asserted-by":"crossref","first-page":"103796","DOI":"10.1016\/j.eats.2025.103796","article-title":"Anterior cruciate ligament reconstruction with bone\u2010patellar tendon\u2010bone autograft: Top 10 pearls","volume":"14","author":"Rechter GR","year":"2025","journal-title":"Arthrosc Tech"}],"container-title":["Arthroscopy 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