Evidence map›Paper›PMID 40548004›Full record

ArticleArthroscopy techniques2025

Preventing Tunnel Overlap in Revision Anterior Cruciate Ligament Reconstruction Through Creation of a Single Anatomic Oval Femoral Tunnel.

Maureen Mae Acriche, Hiroshi Ohuchi, Takuya Okada, Shuzo Takazawa, Shin Yamada, Yuki Kato

Abstract read
In one paragraph

Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maureen Mae AcricheDepartment of Sports Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Hiroshi OhuchiDepartment of Sports Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Takuya OkadaDepartment of Sports Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Shuzo TakazawaDepartment of Sports Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Shin YamadaDepartment of Sports Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Yuki KatoDepartment of Sports Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Femoral tunnel malposition is the main cause of failure in anterior cruciate ligament reconstruction. It not only contributes to the failure of initial anterior cruciate ligament reconstruction but is also of importance during the revision surgery. Tunnel positions can either be completely anatomic, completely nonanatomic, or partially anatomic. Cases with completely anatomic tunnels can make use of the same tunnel during the revision surgery, whereas cases with completely nonanatomic tunnels can make a new circular-shaped tunnel within the anatomic footprint. However, cases with partially anatomic tunnels raises concern as to where to create the new femoral tunnel within the anatomic footprint while avoiding overlap with the initial tunnel. By making the new femoral tunnel in an oval shape, we can prevent this from overlapping with the old partially anatomic tunnel while staying entirely within the anatomic footprint. The oval shape is achieved through an outside-in drilling technique using a FlipCutter and tilting the stepped drill sleeve. We present this surgical technique herein.

Identifiers

PMID40548004
PMCPMC12177485

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.