{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:52:10Z","timestamp":1773571930724,"version":"3.50.1"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,10,18]],"date-time":"2010-10-18T00:00:00Z","timestamp":1287360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2010,10,18]],"date-time":"2010-10-18T00:00:00Z","timestamp":1287360000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2010,10,18]],"date-time":"2010-10-18T00:00:00Z","timestamp":1287360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,10,18]],"date-time":"2010-10-18T00:00:00Z","timestamp":1287360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2011,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare femoral cross\u2010pin guidewire insertion at differing angles to identify \u201csafe zones\u201d relative to saphenous nerve, popliteus tendon, fibular collateral ligament, peroneal nerve, and femoral artery\/vein locations between transtibial and medial\u2010portal femoral tunnel drilling methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five paired cadaveric knees were randomly assigned to a transtibial or medial\u2010portal femoral (anatomic) tunnel drilling group. Guidewires were inserted at differing frontal plane angles (+10\u00b0, 0\u00b0, \u221210\u00b0, and \u221220\u00b0). Distances between the guidewire and the anatomic structure of interest were measured with an electronic caliper.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two\u2010way analysis of variance showed that guidewire angle, not tunnel drilling method, created significant differences between guidewire\u2013saphenous nerve (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and guidewire\u2013femoral artery\/vein (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) distances. The +10\u00b0 angle showed a shorter guidewire\u2013saphenous nerve distance than the 0\u00b0, \u221210\u00b0, and \u221220\u00b0 angles. The +10\u00b0 angle also showed a shorter guidewire\u2013femoral artery\/vein distance than the \u221210\u00b0 and \u221220\u00b0 angles, and the 0\u00b0 insertion angle created a shorter guidewire\u2013femoral artery\/vein distance than the \u221210\u00b0 and \u221220\u00b0 angles. Fisher exact tests showed that guidewires inserted at a +10\u00b0 angle showed a greater incidence of safe\u2010zone violations for the saphenous nerve (\n                      <jats:italic>P<\/jats:italic>\n                      = .04) and femoral artery\/vein (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Insertion angle, not tunnel drilling method, influenced saphenous nerve and femoral artery\/vein injury risk. At the +10\u00b0 angle, the saphenous nerve and femoral artery\/vein are at greater risk for surgically induced injury. Guidewire insertion at \u221210\u00b0 or \u221220\u00b0 angles should increase concerns about potential popliteus tendon and fibular collateral ligament injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Insertion angle, not tunnel drilling method, influenced saphenous nerve and femoral artery\/vein injury risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2010.06.030","type":"journal-article","created":{"date-parts":[[2010,12,25]],"date-time":"2010-12-25T05:09:15Z","timestamp":1293253755000},"page":"83-88","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Femoral Cross\u2010Pin Safety in Anterior Cruciate Ligament Reconstruction as a Function of Femoral Tunnel Position and Insertion Angle"],"prefix":"10.1002","volume":"27","author":[{"given":"Ryan","family":"Krupp","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery Fellowship Program, Steadman Hawkins Clinic of the Carolinas Spartanburg South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Field","family":"Scovell","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Fellowship Program, Steadman Hawkins Clinic of the Carolinas Spartanburg South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad","family":"Cook","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Fellowship Program, Steadman Hawkins Clinic of the Carolinas Spartanburg South Carolina U.S.A."},{"name":"Physical Therapy Division Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Nyland","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Division of Sports Medicine University of Louisville Louisville Kentucky U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doug","family":"Wyland","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Fellowship Program, Steadman Hawkins Clinic of the Carolinas Spartanburg South Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,10,18]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70141-0"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1248059"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-005-0705-y"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280052501"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2009.01.015"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508328109"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21508"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0459-9"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.04.006"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806310006766?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806310006766?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.2010.06.030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2010.06.030","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2010.06.030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:23:06Z","timestamp":1773566586000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2010.06.030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,10,18]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.1016\/j.arthro.2010.06.030"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2010.06.030","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,10,18]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}