{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T12:15:52Z","timestamp":1775564152335,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,10,5]],"date-time":"2015-10-05T00:00:00Z","timestamp":1444003200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T00:00:00Z","timestamp":1443657600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T00:00:00Z","timestamp":1443657600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":720,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopytechniques.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Posterior cruciate ligament (PCL) reconstruction using the transtibial drilling or arthroscopic tibial\u2010inlay technique has a risk of injury to the popliteal neurovascular bundle because a pin is drilled anterior to posterior. Intraoperative fluoroscopy is used to decrease the risk of neurovascular injury. In addition, graft passage in the transtibial technique may be problematic because of a sharp turn when placing the graft into the tibial tunnel, which may damage graft fibers. In the surgical technique described in this report, the posteromedial portal is used for visualization and the posterolateral portal is used for debridement of the PCL tibial footprint and the synovial fold closest to the PCL. A curved guide is placed from the posterolateral portal to the tibial footprint, and a flexible pin is drilled across the tibia. The tibial tunnel is then created using a flexible reamer under direct visualization up to the desired length, and a graft can be positioned in the tibial tunnel through the posterolateral portal. This technique has the potential advantages of decreasing the risk of injury to the popliteal neurovascular bundle (use of anteriorly directed, inside\u2010out drilling), avoiding a sharp turn during graft passage, and allowing accurate and anatomic tibial tunnel placement without intraoperative fluoroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf01301:atn2bf01301-vimg-mmc1\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2015.05.016","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T22:02:47Z","timestamp":1444428167000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Inside\u2010Out Antegrade Tibial Tunnel Drilling Through the Posterolateral Portal Using a Flexible Reamer in Posterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"4","author":[{"given":"Eduard","family":"Alentorn\u2010Geli","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Duke Sports Science Institute Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J.","family":"Stuart","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke Sports Science Institute Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.H. James","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke Sports Science Institute Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison P.","family":"Toth","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke Sports Science Institute Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Claude T.","family":"Moorman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke Sports Science Institute Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean C.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke Sports Science Institute Duke University Durham North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,5]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3181f2f4c2"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290020401"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1267468"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.04.007"},{"key":"e_1_2_2_6_1","unstructured":"LiB WangJS HeM WangGB Shen P Bai LH.Comparison of hamstring tendon autograft and tibialis anterior allograft in arthroscopic transtibial single\u2010bundle posterior cruciate ligament reconstruction.Knee Surg Sports Traumatol Arthroscin press available online 6 September 2014. doi:10.1007\/s00167\u2010014\u20103267\u2010z."},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.01.020"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.07.047"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513492704"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.09.009"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1326-7"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221262871500081X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221262871500081X?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.eats.2015.05.016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.eats.2015.05.016","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2015.05.016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T11:40:51Z","timestamp":1775562051000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.eats.2015.05.016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1016\/j.eats.2015.05.016"],"URL":"https:\/\/doi.org\/10.1016\/j.eats.2015.05.016","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Inside-Out Antegrade Tibial Tunnel Drilling Through the Posterolateral Portal Using a Flexible Reamer in Posterior Cruciate Ligament Reconstruction","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eats.2015.05.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 Arthroscopy Association of North America. 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