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The longest and shortest sides of the sockets were measured using a ruler. One\u2010sided Wilcoxon signed\u2010rank sum tests were used to evaluate whether the actual measured socket length matched the estimated length set on the drill guide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One fellowship\u2010trained surgeon reamed 24 total sockets in sawbone specimens using guides. Statistical analysis revealed a significant difference between the estimated measurement and the actual shortest tunnel length in each of the sockets. The median short side socket lengths were shorter than their respective intended depths by 4 mm for the femoral anterior cruciate ligament socket, 6 mm for the femoral posterior cruciate ligament socket, 6 mm for the tibial anterior cruciate ligament socket, and 4.5 mm for the tibial posterior cruciate ligament socket. All differences were significant at \u03b1\u00a0= 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The estimated cruciate socket lengths reamed during ligament reconstruction using a retrograde reamer and standard intra\u2010articular measuring instrumentation were greater than the actual measured socket lengths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Successful cruciate ligament reconstruction relies on accurate socket measurements. This study examined the accuracy of commercially available cruciate ligament socket drill guides and the implications for clinical practice, to include graft\u2010tunnel mismatch and surface area available for healing. Surgeons may consider reaming slightly longer than estimated sockets when performing all\u2010inside cruciate ligament reconstructions to ensure appropriate socket depth for graft fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100913","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T03:29:34Z","timestamp":1721705374000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Commercially Available Guides Overestimate Socket Length During Anterior and Posterior Cruciate Ligament Socket Retrograde Drilling"],"prefix":"10.1002","volume":"6","author":[{"given":"Emily R.","family":"McDermott","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery San Antonio Military Medical Center San Antonio Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Proffitt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Burkhart Research Institute for Orthopaedics San Antonio Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clayton W.","family":"Nuelle","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Missouri Orthopaedic Institute University of Missouri Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjorn Christian","family":"Balldin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Burkhart Research Institute for Orthopaedics San Antonio Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"issue":"8","key":"e_1_2_3_2_2","doi-asserted-by":"crossref","DOI":"10.1177\/23259671221110191","article-title":"Revision rates after primary ACL reconstruction performed between 1969 and 2018: A systematic review and metaregression analysis","volume":"10","author":"Liukkonen R.J.","year":"2022","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTO.0b013e3182596417"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01315"},{"key":"e_1_2_3_5_2","unstructured":"The R Project for Statistical Computinghttps:\/\/www.R\u2010project.org\/. 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