{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:56:35Z","timestamp":1773604595382,"version":"3.50.1"},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2000,7,1]],"date-time":"2000-07-01T00:00:00Z","timestamp":962409600000},"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":[[2000,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a prospective series of 101 patients receiving a four\u2010strand semitendinosus\u2010gracilis autograft for anterior cruciate ligament reconstruction using a new bicortical tibial fixation technique with bioabsorbable interference screws. Patients (average age 32 years) were operated on between November 1997 and Mai 1998, and follow\u2010up was at least 12\u00a0months postoperatively. The evaluation consisted of history, clinical examination, IKDC score, Cincinnati Knee Score, KT\u20101000 testing, standardized radiography and magnetic resonance imaging. One hundred patients were available for follow\u2010up. There were two traumatic reruptures 6 and 11\u00a0months postoperatively. By IKDC score 87 patients were in groups A and B, 12\u00a0in group C, and 2 with a rerupture in group D. Mean Cincinnati Knee Score was 82 (range 46\u2013100), KT\u20101000\u00a0manual maximum at follow\u2010up showed an average difference of 1.7\u00a0mm between the sides. Full extension was rapidly achieved in all cases, and flexion averaged 135\u00b0. Considering the enlargement caused by the bioabsorbable interference screws, the incidence of tunnel widening was 6.6% on the femoral side and 1.7% on the tibial side. Tunnel widening did not affect the clinical results. Three patients experienced an effusion after more than 6\u00a0months postoperatively. There was one infection, which settled without functional impairment after early arthroscopic lavage and intravenous antibiotics. Otherwise no complications occurred. The described technique for anterior cruciate ligament reconstruction combines the advantage of anatomical graft position with sufficient graft fixation. A short intra\u2010articular graft construct with a strong tendon to bone interface was created. Clinically, 87% of patients had a normal or nearly normal IKDC score at follow\u2010up. Magnetic resonance imaging revealed a considerable increase in tunnel area caused by the insertion of the interference screws. On the other hand, the development of a \u201cfibrous interzone\u201d between the graft and the bone tunnel was prevented in most cases. At short\u2010term follow\u2010up the bicortical tibial fixation proved to be efficient even with an aggressive rehabilitation program.<\/jats:p>","DOI":"10.1007\/s001670000120","type":"journal-article","created":{"date-parts":[[2003,12,2]],"date-time":"2003-12-02T16:15:32Z","timestamp":1070381732000},"page":"218-225","source":"Crossref","is-referenced-by-count":31,"title":["A new bicortical tibial fixation technique in anterior cruciate ligament reconstruction with quadruple hamstring graft"],"prefix":"10.1002","volume":"8","author":[{"given":"J.\u2010U.","family":"Buelow","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Arcus Sportsclinic Wilhelm\u2010Becker\u2010Strasse 15 75179 Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Siebold","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Arcus Sportsclinic Wilhelm\u2010Becker\u2010Strasse 15 75179 Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Ellermann","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Arcus Sportsclinic Wilhelm\u2010Becker\u2010Strasse 15 75179 Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2000,7]]},"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s001670000120.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s001670000120\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s001670000120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:09:30Z","timestamp":1760875770000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s001670000120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,7]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2000,7]]}},"alternative-id":["10.1007\/s001670000120"],"URL":"https:\/\/doi.org\/10.1007\/s001670000120","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,7]]}}}