{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:22:40Z","timestamp":1773570160381,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2009,8,10]],"date-time":"2009-08-10T00:00:00Z","timestamp":1249862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2009,8,10]],"date-time":"2009-08-10T00:00:00Z","timestamp":1249862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2009,8,10]],"date-time":"2009-08-10T00:00:00Z","timestamp":1249862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2009,8,10]],"date-time":"2009-08-10T00:00:00Z","timestamp":1249862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This article reports the biomechanical demonstration of a technique for transtibial posterior cruciate ligament (PCL) reconstruction using a soft\u2010tissue graft with cross\u2010pin fixation in the tibia and compares this with the biomechanical properties achieved with other methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used 5 paired cadaveric knees and another 10 tibias. Soft\u2010tissue grafts were randomized. The femoral side of the anterior cruciate ligament was fixed with a Bio\u2010TransFix device (Arthrex, Naples, FL) (group I), and the tibial side of the PCL was fixed with a Bio\u2010TransFix device (group II). In another 10 tibias, tibial fixations were performed by use of a bio\u2010interference screw (group III). Biomechanical testing was carried out on a testing machine, and maximal failure load, stiffness, and displacement were analyzed. The lengths of the slots of the TransFix device (Arthrex) from the near cortex were measured to compare the proper length of the device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Maximal mean failure loads in groups I, II, and III were 549.3 \u00b1 55.4 N, 570.8 \u00b1 96.9 N, and 371.3 \u00b1 106.2 N, respectively, showing a significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      = .0003). Stiffnesses were 47.52 \u00b1 16.84 N\/mm, 59.14 \u00b1 17.09 N\/mm, and 27.60 \u00b1 16.73 N\/mm, respectively, showing a significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      = .01). Mean displacements were 19.99 \u00b1 5.79 mm, 19.09 \u00b1 8.51 mm, and 17.58 \u00b1 7.10 mm, respectively, showing no significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      = .7535). The mean lengths of the slots of the TransFix device of the femurs and tibias were similar at 20.3 \u00b1 1.25 mm and 20.2 \u00b1 1.32 mm, respectively, showing no significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      = .8637).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The transtibial technique by use of cross\u2010pin tibial fixation with a Bio\u2010TransFix device in PCL reconstruction provides stable fixation that is comparable to that achieved by use of conventional bio\u2010interference screw fixation and femoral fixation in an anterior cruciate ligament reconstruction, an already well\u2010established technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Biomechanically, tibial cross\u2010pin fixation compares favorably with interference screw fixation and is useful when a graft is short. However, safety issues have not yet been resolved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2009.02.006","type":"journal-article","created":{"date-parts":[[2009,8,11]],"date-time":"2009-08-11T03:15:51Z","timestamp":1249960551000},"page":"989-995","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":24,"title":["Biomechanical Evaluation of Cross\u2010Pin Versus Interference Screw Tibial Fixation Using a Soft\u2010Tissue Graft During Transtibial Posterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"25","author":[{"given":"Yong Seuk","family":"Lee","sequence":"first","affiliation":[{"name":"Korea University Ansan Hospital Anam\u2010dong Seongbuk\u2010Gu Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joon Ho","family":"Wang","sequence":"additional","affiliation":[{"name":"Korea University Ansan Hospital Anam\u2010dong Seongbuk\u2010Gu Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Hoon","family":"Bae","sequence":"additional","affiliation":[{"name":"Korea University Guro Hospital Anam\u2010dong Seongbuk\u2010Gu Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong Chul","family":"Lim","sequence":"additional","affiliation":[{"name":"Korea University Guro Hospital Anam\u2010dong Seongbuk\u2010Gu Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Ho","family":"Park","sequence":"additional","affiliation":[{"name":"Korea University Ansan Hospital Anam\u2010dong Seongbuk\u2010Gu Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Hwan","family":"Ahn","sequence":"additional","affiliation":[{"name":"Samsung Medical Center Gangnam\u2010gu Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Soo","family":"Bae","sequence":"additional","affiliation":[{"name":"Korea Orthopedics &amp; Rehabilitation Engineering Center Bupyung\u2010ku Incheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bee\u2010Oh","family":"Lim","sequence":"additional","affiliation":[{"name":"Sports Science Institute Seoul National University Gwanak\u2010gu Seoul 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