{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:43Z","timestamp":1787755843208,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present the case of a 21-year-old male patient who underwent primary anterior cruciate ligament (ACL) reconstruction, which was later complicated by retear, deep infection, and massive bone loss. We adopted a multidisciplinary approach to address each facet of this rare complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Salvage options for revision ACL reconstruction pose significant challenges. We applied a novel technique involving suture button suspension of bone graft and addressed secondary modes of failure to achieve a satisfactory and functional outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00316","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T14:00:48Z","timestamp":1731592848000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of Bone Loss in a Revised and Infected Anterior Cruciate Ligament Reconstruction"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3580-4143","authenticated-orcid":false,"given":"Mark M.","family":"Kodsy","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4995-3390","authenticated-orcid":false,"given":"Christopher J.","family":"McMellen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4409-1472","authenticated-orcid":false,"given":"Margaret A.","family":"Sinkler","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5693-0336","authenticated-orcid":false,"given":"James E.","family":"Voos","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio"},{"name":"University Hospitals Drusinsky Sports Medicine Institute, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9586-7050","authenticated-orcid":false,"given":"Michael R.","family":"Karns","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio"},{"name":"University Hospitals Drusinsky Sports Medicine Institute, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"2","key":"bib1-20250513","doi-asserted-by":"crossref","first-page":"252","DOI":"10.5312\/wjo.v6.i2.252","article-title":"Review of evolution of tunnel position in anterior cruciate ligament reconstruction","volume":"6","author":"Rayan","year":"2015","journal-title":"World J 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Am."},{"issue":"2","key":"bib8-20250513","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1002\/jor.24871","article-title":"Rate of Infection Following Revision Anterior Cruciate Ligament Reconstruction and associated patient- and surgeon- dependent risk factors: retrospective results from MOON and MARS data collected from 2002 to 2011","volume":"39","author":"Brophy","year":"2021","journal-title":"J Orthop Res."},{"issue":"4","key":"bib9-20250513","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/0363546511432545","article-title":"Prospective analysis of failure rate and predictors of failure after anatomic anterior cruciate ligament reconstruction with allograft","volume":"40","author":"van Eck","year":"2012","journal-title":"Am J Sports Med."},{"issue":"12","key":"bib10-20250513","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1016\/j.arthro.2010.05.014","article-title":"Allograft anterior cruciate ligament reconstruction in the young, active patient: tegner activity level and failure rate","volume":"26","author":"Barrett","year":"2010","journal-title":"Arthroscopy."},{"issue":"3","key":"bib11-20250513","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/1941738115579030","article-title":"A systematic review of failed anterior cruciate ligament reconstruction with autograft compared with allograft in young patients","volume":"7","author":"Wasserstein","year":"2015","journal-title":"Sports Health."},{"issue":"12","key":"bib12-20250513","doi-asserted-by":"crossref","first-page":"2800","DOI":"10.1177\/0363546513503288","article-title":"Posterior tibial slope and further anterior cruciate ligament injuries in the anterior cruciate ligament-reconstructed patient","volume":"41","author":"Webb","year":"2013","journal-title":"Am J Sports Med."}],"container-title":["JBJS Case 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