Evidence map›Paper›PMID 42499947›Full record

ArticleArthroscopy techniques2026

Reverse Passing of Anterior Cruciate Ligament Reconstruction With Simultaneous Anterolateral Ligament Reconstruction Using Hamstring Autograft.

Ezio Adriani, Simone Giusti, Marco Adriani, Edoardo De Fenu

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

4 authors.

Ezio AdrianiComplex Operational Unit of Sports Traumatology and Joint Reconstruction Agostino Gemelli University Polyclinic Foundation Rome Italy.
Simone GiustiComplex Operational Unit of Sports Traumatology and Joint Reconstruction Agostino Gemelli University Polyclinic Foundation Rome Italy.ORCID https://orcid.org/0009-0007-8280-5222
Marco AdrianiCasa di Cura Città di Parma Parma Italy.ORCID https://orcid.org/0000-0002-3116-613X
Edoardo De FenuComplex Operational Unit of Sports Traumatology and Joint Reconstruction Agostino Gemelli University Polyclinic Foundation Rome Italy.ORCID https://orcid.org/0009-0006-9966-1379

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cruciate ligament reconstruction continues to evolve as surgical techniques aim to optimize graft placement, increase rotational control, and reduce graft failure in high-risk populations. This technical note describes an inverse anterior cruciate ligament reconstruction combined with an anatomic anterolateral ligament reconstruction, incorporating a retrograde tibial half-tunnel and outside-in femoral drilling. The technique is compatible with hamstring, quadriceps tendon, and bone-patellar tendon-bone autografts. Tibial fixation is achieved using a suspensory button that can be directly visualized on the anteromedial cortex, while femoral fixation is performed with an interference screw. The remaining semitendinosus strand or the FiberTape reinforcement is routed beneath the iliotibial band and lateral collateral ligament and anchored at Gerdy's tubercle to anatomically recreate the anterolateral ligament. This procedure is indicated for young athletes, patients with high rotational demands, positive pivot-shift or Jerk tests, primary cases with high rerupture risk, and selected revision scenarios. Advantages of the technique include enhanced anteroposterior and rotational stability, improved graft-bone interface healing through circumferential tunnel contact, preservation of the iliotibial band, minimized morbidity of anterolateral ligament augmentation, and reliable intraoperative visualization of tibial fixation. Additionally, the outside-in femoral approach offers versatility for revision surgery and physeal-sparing application in skeletally immature patients.

Identifiers

PMID42499947
PMCPMC13399773

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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.