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Three standardized socket\u2010tunnels were created: one for the ACL and one for each posterior meniscal root insertion. Computed tomography scans were performed and sequentially processed using computer software to produce 3\u2010dimensional models for assessment of socket\u2010tunnel overlap. Statistical analysis was performed with Kruskal\u2010Wallis and Mann\u2010Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests. Significance was set at\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The present study found no significant risk of tunnel overlap when drilling for combined ACLR and MMPR repair, whereas 7 cases of tunnel overlap occurred between ACL tunnels and LMPR (25.9% of cases). No subgroup or specific pattern of angulation consistently presented significantly safer distances than other subgroups for all distances measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrated 25.9% rate of overlap for combined LMPR repair and ACLR, compared with 0% for MMPR repair with ACLR. Lower ACL drilling angle (55 or 60\u00b0) combined with greater lateral meniscus drilling angle (65\u00b0) produced no socket\u2010tunnel overlap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Socket\u2010tunnel overlap during meniscal root repair combined with ACLR may compromise graft integrity and lead to impaired fixation and treatment failure of either the ACL, the meniscus, or both. Despite this, risk for socket\u2010tunnel overlap has not been well characterized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100917","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T11:56:43Z","timestamp":1709207803000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Tunnel Overlap Occurs 25% of the Time With Simultaneous Anterior Cruciate Ligament Reconstruction and Lateral Meniscal Root Repair"],"prefix":"10.1002","volume":"6","author":[{"given":"Steven","family":"DeFroda","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"Jo\u00e3o","family":"Bourbon de Albuquerque","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri 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