{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T12:52:46Z","timestamp":1775998366410,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:00:00Z","timestamp":1703462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:00:00Z","timestamp":1703462400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:00:00Z","timestamp":1703462400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:00:00Z","timestamp":1703462400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T00:00:00Z","timestamp":1696204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"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","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Every year, approximately 400,000 patients undergo anterior cruciate ligament (ACL) reconstruction surgery in the United States, accounting for almost 50% of all knee surgeries in the country. Recent studies have demonstrated that the ACL is a ribbon\u2010like structure with a C\u2010shaped tibial insertion and a flat femoral origin. This article introduces a modification of an ACL reconstruction technique. The modification renders the procedure easily reproducible with standard surgical instruments. We will describe a surgical technique modification that goes beyond the standard round bone tunnels and adopts a more anatomical approach using a C\u2010shaped tibial canal and a flat femoral canal using a flat semitendinosus (semi\u2010T) graft. The use of a semi\u2010T graft better reproduces the ribbon\u2010like ACL anatomy. The semi\u2010T graft, a flat femoral canal, and a C\u2010shaped tibial canal provide increased bone\u2010tendon contact surface area and decreased diffusion length, resulting in improved tendon\u2010bone healing. The modification proposed by our team makes the anatomical ribbon\u2010like ACL graft, C\u2010shaped tibial canal, and the flat femoral canal technique feasible in every orthopaedic operating room and mitigates costly specialized instrument.<\/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:atn2bf01190:atn2bf01190-vimg-mmc2\">\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.2023.09.011","type":"journal-article","created":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T04:04:13Z","timestamp":1703477053000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Anatomical Anterior Cruciate Ligament Reconstruction with Flat Semitendinosus Graft and C\u2010shaped Tibial Canal"],"prefix":"10.1002","volume":"13","author":[{"given":"Marc","family":"Chamieh","sequence":"first","affiliation":[{"name":"Department of Spine Disorders and Pediatric Orthopedics Poznan University of Medical Sciences Pozna\u0144 Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wassim","family":"Mourad","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Saint Louis University School of Medicine St. Louis Missouri 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Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,25]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3146-7"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-45349-6_1"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3058-6"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B8.37117"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.06.005"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1947603513486557"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.10.005"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.08.031"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3749-7"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05420-7"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.11.050"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221083581"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.05.030"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510377399"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2562-4"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.05.004"},{"key":"e_1_2_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2022.103378"}],"container-title":["Arthroscopy 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