{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T08:51:38Z","timestamp":1775724698255,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T00:00:00Z","timestamp":1759622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Anterior cruciate ligament (ACL) reconstruction is one of the most common orthopaedic surgical procedures. The risk of clinical failure after isolated ACL reconstruction in high\u2010risk populations is as high as 40% at 2 years postoperatively. Multiple strategies exist to decrease the risk of rerupture after ACL reconstruction, including manipulation of the graft source and diameter, optimization of the femoral and tibial tunnel position, addition of concomitant extra\u2010articular procedures, and graft support with synthetic material. Independent graft reinforcement with a high\u2010strength, nonabsorbable suture tape has become a popular, low\u2010cost, low\u2010morbidity technique to increase the graft yield strength, decrease graft stretching, improve clinical outcomes, and decrease rerupture rates. However, most suture tape reinforcement techniques require suspensory fixation of both the femoral and tibial sides, with no alternative for bone\u2010block aperture fixation. Furthermore, the existing techniques for independent suture tape reinforcement with tibial aperture fixation are overly complex, requiring intra\u2010articular shuttling of thick, multi\u2010braided suture limbs. We present a simple, extra\u2010articular shuttling technique for independent suture reinforcement of quadriceps\u2010bone\u2010block autograft ACL reconstruction with tibial interference screw aperture fixation.<\/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:atn2bf04088:atn2bf04088-vimg-0001\">\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                  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