{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:48:50Z","timestamp":1773604130135,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2007,12,1]],"date-time":"2007-12-01T00:00:00Z","timestamp":1196467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2007,12,1]],"date-time":"2007-12-01T00:00:00Z","timestamp":1196467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this prospective study was to define the relation between the integrity of cross\u2010pin femoral fixation and stability after anterior cruciate ligament (ACL) reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010one consecutive ACL reconstructions were performed with hamstring tendons fixed with bioabsorbable cross\u2010pin femoral fixation. All patients underwent magnetic resonance imaging at 6 months postoperatively to assess the status of the cross\u2010pin fixation. Clinical evaluations were performed via the Lachman and pivot\u2010shift tests. The side\u2010to\u2010side differences were measured by KT\u20101000 testing (MEDmetric, San Diego, CA) at 2 years postoperatively. The patients were divided into 2 groups according to the status of the cross\u2010pin. Group I consisted of those in whom the cross\u2010pins were intact, and group II had broken cross\u2010pins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 19 patients in group I and 12 (38.7%) in group II. Among the 24 cross\u2010pins used in the 12 patients in group II, 18 were broken. Among the patients in group I, the tip of the cross\u2010pin was inside the posterior cortex of the distal femur in 7 (36.8%) and outside in 12 (63.2%). In group II the tip of the cross\u2010pin was outside the posterior cortex of the distal femur in all patients. This number was significantly higher than that in group I (\n                      <jats:italic>P<\/jats:italic>\n                      = .017). Group I had significantly lower KT\u20101000 measurements than group II (\n                      <jats:italic>P<\/jats:italic>\n                      = .003). The mean KT\u20101000 side\u2010to\u2010side difference was 0.47 mm in group I and 3.0 mm in group II. The Lachman and pivot\u2010shift test data revealed no significant differences between the 2 groups (\n                      <jats:italic>P<\/jats:italic>\n                      = .467 and\n                      <jats:italic>P<\/jats:italic>\n                      = .796, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study showed that breakage of bioabsorbable cross\u2010pins is a relatively common phenomenon. Broken cross\u2010pins were a factor relating to laxity after ACL reconstructions with hamstring grafts. Posterior direction of the cross\u2010pin may be a cause of pin breakage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2007.07.007","type":"journal-article","created":{"date-parts":[[2007,12,6]],"date-time":"2007-12-06T11:57:32Z","timestamp":1196942252000},"page":"1334","source":"Crossref","is-referenced-by-count":35,"title":["Do Broken Cross\u2010Pins Compromise Stability After Anterior Cruciate Ligament Reconstructions With Hamstring Tendons?"],"prefix":"10.1002","volume":"23","author":[{"given":"Nam\u2010Hong","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Eulji Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung\u2010Hoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Eulji Medical Center Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian N.","family":"Victoroff","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Case Western Reserve University College of Medicine Cleveland Ohio U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,12,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020401"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0095399703258616"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.082"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261714"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275150"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.11.010"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506295026"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270040701"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500409"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199312000-00009"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280010801"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.04.099"},{"key":"e_1_2_2_14_1","first-page":"573","article-title":"Function of the knee joint various activities","volume":"4","author":"Morrison J.B.","year":"1969","journal-title":"Biomed Eng"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.0150171"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.04.073"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280052501"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806307006871?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806307006871?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2007.07.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2007.07.007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2007.07.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:53:52Z","timestamp":1773564832000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2007.07.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,12]]},"references-count":16,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2007,12]]}},"alternative-id":["10.1016\/j.arthro.2007.07.007"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2007.07.007","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,12]]}}}