{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T15:03:49Z","timestamp":1775919829527,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":76,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Lateral meniscus posterior root (LMPR) tears frequently accompany anterior cruciate ligament (ACL) injuries and can compromise knee biomechanics and stability if left unrepaired. The primary research question was whether LMPR repair performed using a shared ACL tibial tunnel provides clinical, patient\u2010reported and magnetic resonance imaging (MRI) outcomes equivalent to those of an independent transtibial pullout technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective comparative study included 50 patients who underwent arthroscopic ACL reconstruction with concomitant LMPR repair between June 2019 and June 2022. Twenty\u2010four patients underwent LMPR repair using a shared ACL tibial tunnel technique and 26 patients underwent repair using an independent transtibial pullout technique. All procedures were performed by a single surgeon, with a minimum follow\u2010up of 2 years. Clinical assessment included Lachman grade, pivot\u2010shift grade, International Knee Documentation Committee (IKDC) score and Lysholm knee score. MRI evaluation assessed LMPR healing and lateral meniscus extrusion (LME).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean operative time was significantly shorter in the shared tunnel group (73.50\u2009\u00b1\u20098.51\u2009min) compared with the independent tunnel group (97.00\u2009\u00b1\u20098.39\u2009min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Significant improvements in clinical stability and patient\u2010reported outcome measures were observed in both groups at 2\u2010year follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for all within\u2010group comparisons), with no significant differences between groups. MRI\u2010based LMPR healing rates were comparable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.231). Both groups demonstrated significant reductions in LME at follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with no significant difference between techniques (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.181).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LMPR repair using a shared ACL tibial tunnel yields clinical, patient\u2010reported and MRI outcomes comparable to those of an independent transtibial pullout technique, while significantly reducing operative time. By avoiding an additional tibial tunnel, this technique preserves bone stock, prevents tunnel convergence and eliminates the need for an extra implant, making it a safe, efficient and cost\u2010effective option when combined with arthroscopic ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70687","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T11:45:57Z","timestamp":1773834357000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Shared versus independent tibial tunnels for lateral meniscus posterior root repair with ACL reconstruction: Comparable outcomes with shorter operative time in the shared tunnel technique at 2 years"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-3287","authenticated-orcid":false,"given":"Ashwanth Narayan","family":"Balashanmugam","sequence":"first","affiliation":[{"name":"Department of Arthroscopy and Sports Medicine Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Porur Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4746-9063","authenticated-orcid":false,"given":"Sanjay Ayyakkannu","family":"Kasthuriranganathan","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy and Sports Medicine Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Porur Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4734-9379","authenticated-orcid":false,"given":"Vignesh","family":"Murali","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy and Sports Medicine Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Porur Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen","family":"Ravi","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy and Sports Medicine Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Porur Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1292-4465","authenticated-orcid":false,"given":"Suresh","family":"Perumal","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy and Sports Medicine Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Porur Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arumugam","family":"Sivaraman","sequence":"additional","affiliation":[{"name":"Department of Arthroscopy and Sports Medicine Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Porur Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00748"},{"issue":"3","key":"e_1_2_12_3_1","first-page":"e715","article-title":"An analysis of tibial tunnel distance between cruciate ligament reconstruction and posterior lateral meniscal root repair","volume":"3","author":"Campbell A","year":"2021","journal-title":"Arthrosc Sports Med Rehabil"},{"issue":"3","key":"e_1_2_12_4_1","first-page":"e707","article-title":"Anatomic relationship between anterior cruciate ligament and posterior lateral 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