Evidence map›Paper›PMID 42499848›Full record

ArticleArthroscopy techniques2026

Anterior Cruciate Ligament Reconstruction and Medial Collateral Ligament Augmentation With Pedicled Gracilis Tendon to Address Anteromedial Rotatory and Valgus Instability.

Lukas Willinger, Julian Mehl, Sebastian Siebenlist, Armin Runer

Abstract read
In one paragraph

Article in Arthroscopy techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Lukas WillingerDepartment of Sports Orthopaedics TUM University Hospital, Technical University of Munich Munich Germany.ORCID https://orcid.org/0009-0004-1574-4157
Julian MehlDepartment of Sports Orthopaedics TUM University Hospital, Technical University of Munich Munich Germany.
Sebastian SiebenlistDepartment of Sports Orthopaedics TUM University Hospital, Technical University of Munich Munich Germany.
Armin RunerDepartment of Sports Orthopaedics TUM University Hospital, Technical University of Munich Munich Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries with persistent grade II valgus (Fetto/Marshall classification) or anteromedial rotatory instability pose a significant risk to ACL graft integrity if treated in isolation. This single-stage procedure involves ACL reconstruction using a quadriceps tendon autograft combined with minimally invasive MCL augmentation using a pedicled gracilis tendon with preserved distal attachment. This gracilis-based approach addresses both superficial MCL and deep MCL stabilization in cases with valgus laxity at 20° to 30° of knee flexion. The present article outlines graft harvest, tunnel placement, graft routing, and fixation, emphasizing isometric reconstruction and graft protection. This combined procedure is believed to restore native knee biomechanics and to reduce ACL graft failure risk.

Identifiers

PMID42499848
PMCPMC13399843

What OpenQuestion holds

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Registered trials

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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.