{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:58:30Z","timestamp":1788242310151,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,5,24]],"date-time":"2011-05-24T00:00:00Z","timestamp":1306195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to evaluate the morphology of transplanted triple\u2010bundle anterior cruciate ligament (ACL) grafts by second\u2010look arthroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The subjects were 41 patients with a mean age of 25.5 \u00b1 8.5 years who underwent second\u2010look arthroscopy at between 6 and 22\u00a0months after the anatomical triple\u2010bundle ACL reconstruction using semitendinosus tendon autograft. Lachman test was negative in 38\u00a0knees and mildly positive with a firm endpoint in 3\u00a0knees. Arthroscopic evaluation of grafts was performed for the anteromedial graft (AM), the intermediate graft (IM), and the posterolateral graft (PL), focusing on tension and graft damage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All grafts showed \u201cfan\u2010out\u201d shape approaching the tibial attachment, which looked closer to the natural ACL compared to the double\u2010bundle grafts. As to graft tension, 93% of AM, 90% of IM, and 88% of PL grafts were evaluated as taut, respectively. As to graft damage, there was no apparent rupture in the AM and IM grafts, while complete or substantial rupture was observed in 10% of PL grafts around the femoral tunnel aperture. The incidence of graft rupture in PL grafts was significantly greater than those in the AM and IM grafts. As to synovial coverage, 76% of AM, 78% of IM, and 59% of PL grafts were evaluated as \u201cGood,\u201d while 41% of PL grafts were not fully covered with synovium. All of the synovial defects were observed around the femoral tunnel aperture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The morphology of the triple\u2010bundle grafts resembled that of the natural ACL, while complete or substantial rupture was observed in 10% of the PL grafts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Study of case series with no comparison group, Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-011-1551-8","type":"journal-article","created":{"date-parts":[[2011,5,23]],"date-time":"2011-05-23T09:13:40Z","timestamp":1306142020000},"page":"95-101","source":"Crossref","is-referenced-by-count":23,"title":["Triple\u2010bundle ACL grafts evaluated by second\u2010look arthroscopy"],"prefix":"10.1002","volume":"20","author":[{"given":"Yoshinari","family":"Tanaka","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Sports Orthopaedics Osaka Rosai Hospital 1179\u20103 Nagasone\u2010cho, Kita\u2010ku 583\u20108555 Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konsei","family":"Shino","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Faculty of Comprehensive Rehabilitation Osaka Prefecture University Sakai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Horibe","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Sports Orthopaedics Osaka Rosai Hospital 1179\u20103 Nagasone\u2010cho, Kita\u2010ku 583\u20108555 Sakai Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norimasa","family":"Nakamura","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Institute for Medical Science in Sports Osaka Health Science University Kumatori 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