ArticleArchives of orthopaedic and trauma surgery2023
Bone filling decreases donor site morbidity after anterior cruciate ligament reconstruction with bone-patellar tendon-bone autografts.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07257666 (The Effect of Platelet-rich Fibrin on the Regeneration of Patellar Ligament Defects and the Functional Recovery of Patients After Anterior Cruciate Ligament Reconstruction of the Knee), which is not on this map. Cited by 11 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Platelet-rich Fibrin on the Regeneration of Patellar Ligament Defects and the Functional Recovery of Patients After Anterior Cruciate Ligament Reconstruction of the Knee
Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- Backfilling Patellar and Tibial Harvest Sites Using Autologous Bone Reamings and Anterior Cruciate Ligament Remnant Tissue During Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2026Article
- Bone Defect Regeneration and Donor-Site Morbidity After Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction: A Prospective Cohort Study.Medicina (Kaunas, Lithuania) · 2026Observational
- Anterior knee pain in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft and autologous bone grafting.World journal of orthopedics · 2026Article
- Patellar Fracture Risk Is Not Affected by Harvest Length During Bone-Patellar Tendon-Bone Harvest: A Biomechanical and Ultimate Load-to-Failure Analysis.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Bone-Patellar Tendon-Bone Autograft in Anterior Cruciate Ligament Reconstruction: A Comprehensive Approach.Arthroscopy techniques · 2025Article
- The single antegrade sling graft: a novel hamstring autograft technique for combined anterior cruciate ligament and anterolateral ligament reconstruction.Archives of orthopaedic and trauma surgery · 2025Article
- Research progress and clinical application of all-inside reconstruction techniques: narrative review.Frontiers in surgery · 2025Review
- A novel surgical technique for revision anterior cruciate ligament reconstruction using an isolated rectus femoris tendon autograft.Archives of orthopaedic and trauma surgery · 2024Article
- In vivo study to assess fat embolism resulting from the Reamer-Irrigator-Aspirator 2 system compared to a novel aspirator-based concept for intramedullary bone graft harvesting.Archives of orthopaedic and trauma surgery · 2024Article
- Prediction of individual graft for anterior cruciate ligament reconstruction using anthropometric data.Archives of orthopaedic and trauma surgery · 2023Article
- Theta-Gel-Reinforced Hydrogel Composites for Potential Tensile Load-Bearing Soft Tissue Repair Applications.Journal of functional biomaterials · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeBone-patellar tendon-bone (BTB) autograft remains the most widely used graft source for anterior cruciate ligament reconstruction (ACLR). The drawback associated with BTB is increased donor-site morbidity, such as anterior knee pain. The purpose of this study was to evaluate and compare anterior knee pain after refilling the patella bony defect with bone substitute.
methodsThis is a retrospective analysis of consecutive patients who underwent BTB ACLR at a single institution between January 2015 and December 2020. The cohort was divided into two groups; one in which the patellar bony defect was refilled with bone substitute (Bone Graft group) and another in which this the bony defects were not treated (No Bone Graft group). Demographic variables, reported anterior knee pain, visual analog scale (VAS) score, complications, re-operation, and patient reported outcome measures, such as the IKDC, LYSHOLM and SF-12 scores, were compared between groups.
resultsA total of 286 patients who underwent BTB ACLR were included. The No Bone Graft group included 88 (30.7%) patients and the Bone Graft group included 198 (69.3%) patients. The Bone Graft group had less anterior knee pain at last clinic follow up (33.3% vs. 51.1% p = 0.004) as well as lower VAS anterior knee pain scores (2.18 vs. 3.13, p = 0.004). The Bone Graft group had lower complications rates (21.7% vs 34.1, p = 0.027). No differences were found in the LYSHOLM, IKDC, and SF-12 scores.
conclusionBone refilling in BTB ACLR significantly reduces prevalence and severity of anterior knee pain. Larger randomized trials are needed to confirm the benefits of bone refilling in ACLR patients. LEVEL OF EVIDENCE: Retrospective study-III.
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