{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:01:36Z","timestamp":1773608496355,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T00:00:00Z","timestamp":1350604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T00:00:00Z","timestamp":1350604800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T00:00:00Z","timestamp":1350604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T00:00:00Z","timestamp":1350604800000},"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":[[2012,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The primary aim was to determine the rate and risk factors of double biodegradable femoral cross\u2010pin breakage after anterior cruciate ligament reconstruction using a hamstring autograft. In addition, we compared clinical outcomes and magnetic resonance imaging (MRI) findings related to grafts for knees with and without a broken cross\u2010pin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of 53 knees (53 patients) was performed. Cross\u2010pin breakage was determined by follow\u2010up MRI. Age, sex, weight, height, presence of a posterior transcortical cross\u2010pin breach, time between surgery and follow\u2010up MRI, graft diameter, and cross\u2010pin position (superior or inferior) were included in the analysis. Differences in Lysholm knee scores, International Knee Documentation Committee grades, anterior laxity, and pivot\u2010shift test results were examined in relation to cross\u2010pin breakage. In addition, anterior cruciate ligament graft integrity and osseous graft integration by MRI were assessed and compared between knees with broken cross\u2010pins and knees with intact cross\u2010pins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A cross\u2010pin was broken in 25 of 53 knees. A cross\u2010pin posterior transcortical breach was the only factor found to be significantly correlated with cross\u2010pin breakage (odds ratio, 6.117;\n                      <jats:italic>P<\/jats:italic>\n                      = .033) by univariate analysis. No significant differences in clinical outcomes were found to be related to cross\u2010pin breakage, but femoral tunnel enlargement was more frequent in knees with breakage than in those without (\n                      <jats:italic>P<\/jats:italic>\n                      = .002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Breakage of biodegradable cross\u2010pins used for femoral fixation is relatively common but did not affect clinical outcomes. However, femoral tunnel enlargement was found to be greater in knees with a broken cross\u2010pin. The only significant relation found was between a cross\u2010pin posterior transcortical breach and breakage, which suggests that pin breakage is related to a technical error. These findings should be borne in mind when a double biodegradable cross\u2010pin is being considered for femoral fixation.<\/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.2012.06.010","type":"journal-article","created":{"date-parts":[[2012,10,17]],"date-time":"2012-10-17T04:16:20Z","timestamp":1350447380000},"page":"1826-1832","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Femoral Cross\u2010Pin Breakage and Its Effects on the Results of Anterior Cruciate Ligament Reconstruction Using a Hamstring Autograft"],"prefix":"10.1002","volume":"28","author":[{"given":"Jin Hwan","family":"Ahn","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seung Ah","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation College of Medicine Kyung Hee University Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang\u2010Hee","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Radiology Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joon Ho","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Chul","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Sahn","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moon Jong","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South 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