{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:13:11Z","timestamp":1773605591641,"version":"3.50.1"},"reference-count":0,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[1998,4,1]],"date-time":"1998-04-01T00:00:00Z","timestamp":891388800000},"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":[[1998,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We prospectively compared two series of 30 anterior cruciate ligament (ACL) reconstructions each where the bone\u2010patellar tendon\u2010bone graft was alternately fixed at the level of the tibial plateau (group A; anatomic fixation) or distal to the plateau level (group B; non\u2010anatomic fixation). In group A, a 35\u2010mm\u2010long tibial tuberosity bone block was harvested. The distal 10\u201315\u00a0mm were resected and fixed proximally to the undersurface of the tendon to shorten it. After an average 18\u00a0months\u2019 follow\u2010up, there were no significant differences between the two groups concerning subjective evaluation, symptoms, range of motion and objective stability. Tibial tuberosity pain was more frequent in group A (53% vs 17%, <jats:italic>P<\/jats:italic> = 0.01). Radiographic evaluation showed that tibial tunnel enlargement was less frequent in group A (23% vs 43%, <jats:italic>P<\/jats:italic> = 0.02). There was no correlation between tunnel enlargement and objective stability. In conclusion, fixation of the graft at the tibial plateau level did not improve objective stability in this study. Because of the greater technical difficulty and occurrence of tibial tuberosity pain, this technique is not recommended.<\/jats:p>","DOI":"10.1007\/s001670050222","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:25:39Z","timestamp":1030253139000},"source":"Crossref","is-referenced-by-count":40,"title":["Anatomic versus non\u2010anatomic tibial fixation in anterior cruciate ligament reconstruction with bone\u2010patellar tendon\u2010bone graft"],"prefix":"10.1002","volume":"6","author":[{"given":"Paolo","family":"Aglietti","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica Universit\u00e0 di Firenze Largo P. Palagi, 1 I\u201050139 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Zaccherotti","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica Universit\u00e0 di Firenze Largo P. Palagi, 1 I\u201050139 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred J. V.","family":"Simeone","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica Universit\u00e0 di Firenze Largo P. Palagi, 1 I\u201050139 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Buzzi","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica Universit\u00e0 di Firenze Largo P. Palagi, 1 I\u201050139 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1998,4]]},"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s001670050222.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s001670050222\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s001670050222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:47:21Z","timestamp":1760878041000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s001670050222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,4]]},"references-count":0,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[1998,4]]}},"alternative-id":["10.1007\/s001670050222"],"URL":"https:\/\/doi.org\/10.1007\/s001670050222","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,4]]}}}