{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T22:53:06Z","timestamp":1779231186008,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,3,13]],"date-time":"2015-03-13T00:00:00Z","timestamp":1426204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,3,13]],"date-time":"2015-03-13T00:00:00Z","timestamp":1426204800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To describe the femoral anterior cruciate ligament (ACL) attachment based on the behind\u2010remnant observation with a new scoring system and to investigate the characteristics of an ACL injured knee.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and twenty\u2010six ACL injured knees with four standardized arthroscopic photos and full evaluation under anaesthesia were included in the study. Sixty non\u2010ACL injured knees were also evaluated as control. A scoring system for the femoral ACL attachment was set as follows based on behind\u2010remnant findings; the direct insertion was divided into three portions as proximal, middle and distal. The fibrous extension from the articular surface (indirect insertion) and the severity of synovitis were also graded into 2, 1 and 0 points. The total score was 10 as full marks. The correlation between each score and total score, as well as age at surgery, gender, anterior laxity, pivot\u2010shift test and meniscus injuries, was statistically evaluated with a significance of 0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The femoral attachment score of the ACL injured knees was statistically different from that of the non\u2010ACL injured knees. Anterior laxity was dependent only on the integrity of the proximal portion. Knee instability was significantly correlated with the status of the direct insertion. Medial and lateral meniscus injuries were correlated with the middle part and the distal part of the direct insertion, respectively. The direct insertion was less preserved in distal and articular sides.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroscopic observation behind the remnant of the injured ACL showed clearer findings of the femoral attachment than that from the front. Behind\u2010remnant observation greatly assists in the creation of a correct anatomical tunnel with the preserving remnant. The scoring system indicated several significant correlations between the score and preoperative patient status.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-015-3574-z","type":"journal-article","created":{"date-parts":[[2015,3,12]],"date-time":"2015-03-12T04:52:40Z","timestamp":1426135960000},"page":"2906-2914","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Behind\u2010remnant arthroscopic observation and scoring of femoral attachment of injured anterior cruciate ligament"],"prefix":"10.1002","volume":"24","author":[{"given":"Takeshi","family":"Muneta","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Tokyo Medical and Dental University Medical Hospital 1\u20105\u201045 Yushima, Bunkyo\u2010ku 113\u20108519 Tokyo Japan"},{"name":"Department of Joint Surgery and Sports Medicine Graduate School Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Koga","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokyo Medical and Dental University Medical Hospital 1\u20105\u201045 Yushima, Bunkyo\u2010ku 113\u20108519 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomomasa","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokyo Medical and Dental University Medical Hospital 1\u20105\u201045 Yushima, Bunkyo\u2010ku 113\u20108519 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Horie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokyo Medical and Dental University Medical Hospital 1\u20105\u201045 Yushima, Bunkyo\u2010ku 113\u20108519 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshifumi","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokyo Medical and Dental University Medical Hospital 1\u20105\u201045 Yushima, Bunkyo\u2010ku 113\u20108519 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Sekiya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokyo Medical and Dental University Medical Hospital 1\u20105\u201045 Yushima, Bunkyo\u2010ku 113\u20108519 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2013.09.012"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198301000-00006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010011\u20101526\u20109"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511410380"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.102"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.09.015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300607"},{"key":"e_1_2_6_9_1","first-page":"38","article-title":"Differences among mechanoreceptors in healthy and injured anterior cruciate ligaments and their clinical importance","volume":"17","author":"Dhillon MS","year":"2012","journal-title":"Muscles Ligaments Tendons J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2013.12.020"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01560215"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700210"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01315"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102749\u20108"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.01.023"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2012.08.012"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102693\u20107"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.03.080"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199611000-00013"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512471614"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.09.020"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102404\u20104"},{"key":"e_1_2_6_24_1","unstructured":"MunetaT KogaH NakamuraT HorieM WatanabeT YagishitaK SekiyaI(2014) A new behind\u2010remnant approach for remnant\u2010preserving double\u2010bundle anterior cruciate ligament reconstruction compared with a standard approach.Knee Surg Sports Traumatol Arthrosc. doi:10.1007\/s00167\u2010014\u20103300\u20102"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00389691"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.04.076"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466030-00005"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.011"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758\u20102555\u20103\u201030"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.12.021"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.06.016"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.05.010"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900303"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.08.010"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.08.305"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e31802ca45b"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314414"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-015-3574-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-015-3574-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-015-3574-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:29:18Z","timestamp":1760880558000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-015-3574-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,13]]},"references-count":36,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1007\/s00167-015-3574-z"],"URL":"https:\/\/doi.org\/10.1007\/s00167-015-3574-z","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,13]]}}}