{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:00:34Z","timestamp":1773568834370,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,3,22]],"date-time":"2010-03-22T00:00:00Z","timestamp":1269216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2010,3,22]],"date-time":"2010-03-22T00:00:00Z","timestamp":1269216000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2010,3,22]],"date-time":"2010-03-22T00:00:00Z","timestamp":1269216000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,3,22]],"date-time":"2010-03-22T00:00:00Z","timestamp":1269216000000},"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":[[2010,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to assess the risk of injury to the posterolateral structures of the knee when performing anterior cruciate ligament reconstruction from the anteromedial portal while fixing the graft with a femoral cross\u2010pin system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The anterior cruciate ligament was reconstructed arthroscopically with hamstring graft in 10 fresh cadaveric knees. Femoral fixation was performed with a cross\u2010pin system. This was originally developed for a transtibial drilling technique. A femoral tunnel measuring 30 mm in length was drilled through the anteromedial portal in each knee. The knee flexion angle was set at 110\u00b0. Lateral dissection was then performed to measure the distances from the cross\u2010pin system to the lateral collateral ligament, the popliteus tendon, the lateral gastrocnemius tendon, and the peroneal nerve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The lateral collateral ligament was partially torn by the pin in 1 case. In 8 cases the distance to the lateral collateral ligament was shorter than 3 mm (range, 0 to 2.43 mm). In 7 specimens, the cross\u2010pin system was within 4.5 mm of the popliteus tendon. The lateral gastrocnemius tendon was pierced by the cross\u2010pin device in 2 cases. The minimal distance to the peroneal nerve was 23.89 mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Fixation of a hamstring graft with a cross\u2010pin system initially developed for an upper femoral tunnel, following the aforementioned technique, presents the possibility of a high risk of injury to the lateral collateral ligament. The popliteus tendon and the lateral gastrocnemius tendon may also be injured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The risk of injury to the lateral stabilizers of the knee suggests discarding the technique used in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2009.09.020","type":"journal-article","created":{"date-parts":[[2010,3,21]],"date-time":"2010-03-21T04:13:13Z","timestamp":1269144793000},"page":"651-657","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Anatomic Single\u2010Bundle Anterior Cruciate Ligament Reconstruction From the Anteromedial Portal: Evaluation of Transverse Femoral Fixation in a Cadaveric Model"],"prefix":"10.1002","volume":"26","author":[{"given":"Pablo Eduardo","family":"Gelber","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital de la Santa Creu i Sant Pau Barcelona Spain"},{"name":"Department of Morphological Sciences (Anatomy and Embryology Unit) Faculty of Medicine Universitat Aut\u00f2noma de Barcelona Cerdanyola del Vall\u00e8s Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Reina","sequence":"additional","affiliation":[{"name":"Department of Morphological Sciences (Anatomy and Embryology Unit) Faculty of Medicine Universitat Aut\u00f2noma de Barcelona Cerdanyola del Vall\u00e8s Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital IMAS Universitat Aut\u00f2noma de Barcelona Cerdanyola del Vall\u00e8s Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Pelfort","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital IMAS Universitat Aut\u00f2noma de Barcelona Cerdanyola del Vall\u00e8s Spain"},{"name":"Institut Universitari Dexeus Universitat Aut\u00f2noma de Barcelona Cerdanyola del Vall\u00e8s Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Tey","sequence":"additional","affiliation":[{"name":"Institut Universitari Dexeus Universitat Aut\u00f2noma de Barcelona Cerdanyola del Vall\u00e8s Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos","family":"Monllau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital de la Santa Creu i Sant Pau Barcelona 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}