{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T23:46:12Z","timestamp":1782258372433,"version":"3.54.5"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82302354"],"award-info":[{"award-number":["82302354"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82302354"],"award-info":[{"award-number":["82302354"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the long\u2010term clinical and radiological outcomes of modified transtibial and anteromedial portal techniques in single\u2010bundle anterior cruciate ligament (ACL) reconstruction to provide more comprehensive guidance for treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included patients who underwent arthroscopic single\u2010bundle ACL reconstruction with adequate follow\u2010up between January 2010 and December 2014. Patients were grouped according to the surgical techniques used: those who underwent the modified transtibial technique (group 1) and those who underwent the anteromedial portal technique (group 2). Clinical assessments included the 2000 International Knee Documentation Committee subjective knee score, Lysholm knee score, Tegner activity scale, Hospital for Special Surgery Knee score, Lachman test, and pivot\u2010shift test. Radiological evaluations assessed the femoral tunnel\u2019s location and length, as well as the inclination angles in the coronal, sagittal, and axial planes through computed tomography scans, while the graft bending angle and ligament maturity were evaluated via magnetic resonance imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 73 patients were included: 36 in group 1 and 37 in group 2. No clinically significant differences were observed between the 2 techniques in the International Knee Documentation Committee score (mean difference [MD], 2.7; 95% confidence interval [CI], \u20131.5 to 6.9; minimal clinically important difference [MCID], 13.8), Lysholm score (MD, \u20130.1; 95% CI, \u20135.0 to 4.8; MCID, 8.9), Tegner score (MD, 0.6; 95% CI, \u20130.3 to 1.5; MCID, 1), and Hospital for Special Surgery Knee score (MD, 3.0; 95% CI, 0.3 to 5.7; MCID, 5.4). However, significant differences were noted in the mean distances from the femoral tunnel center to the posterior condylar surface (36.77% \u00b1 4.60% in group 1 vs 32.14% \u00b1 5.21% in group 2;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and to the Blumensaat line (24.34% \u00b1 4.36% vs 30.02% \u00b1 6.44%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The inclination angles of the femoral tunnel differed significantly between the 2 groups in the coronal plane (55.21\u00b0 \u00b1 6.10\u00b0 vs 35.79\u00b0 \u00b1 8.79\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), sagittal plane (27.80\u00b0 \u00b1 8.26\u00b0 vs 40.06\u00b0 \u00b1 9.29\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and axial plane (43.21\u00b0 \u00b1 7.21\u00b0 vs 31.21\u00b0 \u00b1 8.36\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Compared with group 2, group 1 presented a significantly greater femoral tunnel length (38.63 \u00b1 4.33 vs 33.97 \u00b1 2.65;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Furthermore, the graft bending angle in group 1 was significantly smaller than that in group 2 (26.62\u00b0 \u00b1 7.49\u00b0 vs 36.92\u00b0 \u00b1 5.92\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). There was no statistically significant difference in graft maturity between the 2 groups (5.32 \u00b1 3.52 vs 4.82 \u00b1 2.91;\n                      <jats:italic>P<\/jats:italic>\n                      = .544).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified transtibial and anteromedial portal techniques for ACL reconstruction achieved comparable clinical outcomes. Despite some differences in femoral tunnel placement, there are no significant differences in long\u2010term clinical results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III, Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2025.101173","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T19:33:52Z","timestamp":1747942432000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["No Difference in 10\u2010 to 14\u2010Year Outcomes After Modified Transtibial Versus Anteromedial Portal Techniques in Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"7","author":[{"given":"Guocheng","family":"Ding","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haomin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Tianjin Hospital Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanfan","family":"Cai","sequence":"additional","affiliation":[{"name":"Shenzhen Guangming District People\u2019s Hospital Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhixin","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianquan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Beijing China"},{"name":"Beijing Key Laboratory of Sports Injuries Beijing China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520951796"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.11.026"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.03.025"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211024591"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1601413"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.02.010"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211044476"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-05959-w"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.08.003"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.11.001"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211015616"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43019-023-00202-5"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221096417"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.12.006"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01705"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00088"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2013.5.3.188"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.16.005"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2012.10.024"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.9716.ebo102"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514551922"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.2147\/OAJSM.S157729"},{"key":"e_1_2_4_24_2","doi-asserted-by":"publisher","DOI":"10.52082\/jssm.2021.237"},{"key":"e_1_2_4_25_2","first-page":"1790","article-title":"A meta\u2010analysis on anterior cruciate ligament reconstruction: Is modified transtibial technique inferior to independent drilling techniques?","volume":"16","author":"Zhang Q","year":"2018","journal-title":"Exp Ther Med"},{"key":"e_1_2_4_26_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.16.033"},{"key":"e_1_2_4_27_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.N.00078"},{"key":"e_1_2_4_28_2","first-page":"14","article-title":"Femoral insertion of the ACL. Radiographic quadrant method","volume":"10","author":"Bernard M","year":"1997","journal-title":"Am J Knee Surg"},{"key":"e_1_2_4_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231178301"},{"key":"e_1_2_4_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.01.053"},{"key":"e_1_2_4_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-024-02708-3"},{"key":"e_1_2_4_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02514-2"},{"key":"e_1_2_4_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.10.021"},{"key":"e_1_2_4_34_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.2014.26.4.241"},{"key":"e_1_2_4_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-021-00727-6"},{"key":"e_1_2_4_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06607-7"},{"key":"e_1_2_4_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521993818"},{"key":"e_1_2_4_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-06871-1"},{"key":"e_1_2_4_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221119787"},{"key":"e_1_2_4_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-05306-6"},{"key":"e_1_2_4_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211069960"},{"key":"e_1_2_4_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5036-x"},{"key":"e_1_2_4_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4910-x"},{"key":"e_1_2_4_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.05.041"},{"key":"e_1_2_4_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4191-1"},{"key":"e_1_2_4_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5191-0"},{"key":"e_1_2_4_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.12.023"},{"key":"e_1_2_4_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.07.026"},{"key":"e_1_2_4_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.09.028"},{"key":"e_1_2_4_50_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520956645"},{"key":"e_1_2_4_51_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-019-0217-1"},{"key":"e_1_2_4_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3826-y"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X25000999?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X25000999?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.asmr.2025.101173","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2025.101173","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2025.101173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:08:39Z","timestamp":1778155719000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2025.101173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,22]]},"references-count":51,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1016\/j.asmr.2025.101173"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2025.101173","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,22]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"No Difference in 10- to 14-Year Outcomes After Modified Transtibial Versus Anteromedial Portal Techniques in Anterior Cruciate Ligament Reconstruction","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2025.101173","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"101173"}}