{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T09:17:35Z","timestamp":1778750255623,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2001,2,1]],"date-time":"2001-02-01T00:00:00Z","timestamp":980985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2001,2,1]],"date-time":"2001-02-01T00:00:00Z","timestamp":980985600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2001,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The use of double staples is an accepted method for fixation of hamstring anterior cruciate ligament (ACL) grafts at the distal tibial site. In the last year, we have modified the 2\u2010staple technique that we have been using for distal tibial fixation of our double loop hamstring ACL autografts. Previously, we had impacted the graft with 2 toothed staples onto the cortex distal to the opening of the tibial tunnel. The modification we report here involves driving the proximal staple into the tibial tunnel roof, thus collapsing the tunnel onto the tendon during fixation. The distal staple is introduced in the usual manner. Clinical follow\u2010up including subjective and objective KT\u20101000 arthrometry has indicated no difference in the early results compared with the former staple technique. Radiologic follow\u2010up showed tunnel obliteration and filling in the area of the proximal staple, suggesting early graft incorporation in callus. While early results are encouraging, long\u2010term follow\u2010up and pullout studies will be reported. It would appear that collapsing the bony tunnel by the proximal staple may be a simple method of providing fracture callus to increase the stiffness of the tibial graft fixation, with no major or minor complications. Animal experiments are being carried out to objectively define the mechanical advantage of the graft incorporation by callus.<\/jats:p>","DOI":"10.1053\/jars.2001.19439","type":"journal-article","created":{"date-parts":[[2005,2,10]],"date-time":"2005-02-10T03:51:33Z","timestamp":1108007493000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["Collapsing the tibial bone tunnel in hamstring autograft reconstruction of the anterior cruciate ligament"],"prefix":"10.1002","volume":"17","author":[{"given":"Gershon","family":"Chaimsky","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hadassah Hospital Mt. Scopus Jerusalem Israel"},{"name":"Ribstein Center of Research and Sports Medicine The Wingate Institute Netanya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ido","family":"Zion","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hadassah Hospital Mt. Scopus Jerusalem Israel"},{"name":"Ribstein Center of Research and Sports Medicine The Wingate Institute Netanya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gideon","family":"Mann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hadassah Hospital Mt. Scopus Jerusalem Israel"},{"name":"Ribstein Center of Research and Sports Medicine The Wingate Institute Netanya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Finsterbush","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hadassah Hospital Mt. Scopus Jerusalem Israel"},{"name":"Ribstein Center of Research and Sports Medicine The Wingate Institute Netanya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Lowe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hadassah Hospital Mt. Scopus Jerusalem Israel"},{"name":"Ribstein Center of Research and Sports Medicine The Wingate Institute Netanya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,2,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90009-8"},{"key":"e_1_2_2_3_1","unstructured":"SMHowell MADeutsch.Comparison of endoscopic incision technique for reconstructing after anterior cruciate ligamentPresented at the Annual Meeting of the Academy of Orthopaedic Surgeons New Orleans LA1998"},{"key":"e_1_2_2_4_1","unstructured":"JTTo SMHowell MLHall.Factors affecting the stiffness of anterior cruciate ligament replacements at implantationPresented at the Annual Meeting of the Academy of Orthopaedic Surgeons Atlanta GA1997"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(99)70052-6"},{"key":"e_1_2_2_6_1","first-page":"275","article-title":"Strength of ACL reconstructions using semitendinosus tendon grafts","volume":"91","author":"Georadia VK","year":"1998","journal-title":"J Okla State Med Assoc"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004020050231"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70097-0"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(92)90074-L"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050105"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806301481217?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806301481217?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2001.19439","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1053\/jars.2001.19439","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2001.19439","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:47:44Z","timestamp":1778748464000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1053\/jars.2001.19439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,2]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,2]]}},"alternative-id":["10.1053\/jars.2001.19439"],"URL":"https:\/\/doi.org\/10.1053\/jars.2001.19439","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,2]]}}}