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An excessive fibrotic response from an inflamed joint can lead to pain, restricted knee range of motion, and functional limitations, often necessitating additional interventions such as manipulation under anesthesia or arthroscopic lysis of adhesions. This study introduces a soft\u2010tissue notchplasty technique to potentially reduce the risk of adhesions and cyclops lesion formation, both of which are major contributors to loss of knee range of motion. By selectively debriding the excessive, inflamed synovium and fibrotic tissue in the intercondylar notch, this technique provides a proactive approach to preventing soft\u2010tissue adhesions. As ACLR techniques continue to evolve, incorporating soft\u2010tissue notchplasty into routine practice may reduce localized arthrofibrosis and cyclops lesion formation and subsequent procedures after ACLR.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103859","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T22:15:37Z","timestamp":1757628937000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Soft\u2010Tissue Notchplasty to Prevent Localized Arthrofibrosis in Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"14","author":[{"given":"Caleb J.","family":"Bischoff","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent A.","family":"Prenger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te\u2010Feng Arthur","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven F.","family":"DeFroda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clayton W.","family":"Nuelle","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231195366"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41413-019-0047-x"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.11.006"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.11.027"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.04.004"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.01.005"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.11.008"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05766-y"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1605551"}],"container-title":["Arthroscopy 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America\u00e9","name":"copyright","label":"Copyright"}],"article-number":"103859"}}