{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:13:04Z","timestamp":1773609184098,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,8,8]],"date-time":"2014-08-08T00:00:00Z","timestamp":1407456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,8,8]],"date-time":"2014-08-08T00:00:00Z","timestamp":1407456000000},"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":[[2014,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical outcomes between transtibial drilling and anteromedial portal techniques for anterior cruciate ligament (ACL) reconstruction using soft\u2010tissue grafts secured with expandable fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing soft\u2010tissue ACL reconstruction using expandable fixation between 2007 and 2011 were reviewed for inclusion in this study. Revision ACL cases were excluded. All surgeries were performed by 1 of 2 sports medicine fellowship\u2013trained surgeons (T.S.D., K.D.M.). A total of 128 patients (67 comprising transtibial cohort and 61 comprising anteromedial portal cohort) had a minimum of 24 months' follow\u2010up (mean, 27 months) and met the inclusion criteria. The patients were divided into 2 groups based on the method used for creation of the femoral tunnel. At final follow\u2010up, outcomes were assessed with KT\u20101000 (MEDmetric, San Diego, CA) measurements, as well as International Knee Documentation Committee, Lysholm, and Tegner scores. Data were screened for normality and skew before use of parametric statistics and were transformed if necessary. Data were analyzed by 1\u2010way analysis of variance with post hoc paired comparisons using the Bonferroni approximation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No differences in demographic characteristics were observed between the 2 groups. There was no significant difference in postoperative KT\u20101000 measurements between the 2 cohorts (1.571 \u00b1 0.2275 mm in transtibial cohort [n\u00a0= 35] and 1.246 \u00b1 0.09249 mm in anteromedial cohort [n\u00a0= 61],\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .1259). A significant improvement in International Knee Documentation Committee scores was observed in the anteromedial cohort, increasing from 41 \u00b1 16 to 89 \u00b1 7.4 (mean \u00b1 SD) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Similar changes were observed for the Lysholm score. There was no significant difference between cohorts for any postoperative scores measured (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .2).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our data show comparable KT\u20101000 measurements for both anteromedial and transtibial femoral drilling techniques when using a soft\u2010tissue graft with expandable 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.2014.05.041","type":"journal-article","created":{"date-parts":[[2014,8,8]],"date-time":"2014-08-08T00:15:21Z","timestamp":1407456921000},"page":"1461-1467","source":"Crossref","is-referenced-by-count":24,"title":["Transtibial Versus Anteromedial Portal Anterior Cruciate Ligament Reconstruction Using Soft\u2010Tissue Graft and Expandable Fixation"],"prefix":"10.1002","volume":"30","author":[{"given":"Mary K.","family":"Mulcahey","sequence":"first","affiliation":[{"name":"San Diego Arthroscopy and Sports Medicine San Diego California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tal S.","family":"David","sequence":"additional","affiliation":[{"name":"San Diego Arthroscopy and Sports Medicine San Diego California U.S.A."},{"name":"Department of Orthopaedic Surgery University of California San Diego San Diego California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Epstein","sequence":"additional","affiliation":[{"name":"Tri\u2010County Orthopedics Cedar Knolls New Jersey U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Alaia","sequence":"additional","affiliation":[{"name":"NYU Hospital for Joint Diseases New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth D.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Tri\u2010County Orthopedics Cedar Knolls New Jersey 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