Evidence map›Paper›PMID 42899268›Full record

ArticleJournal of experimental orthopaedics2026

Patella tendon autograft use and A-shaped femoral notch are associated with more anterior and proximal femoral tunnel placement during anterior cruciate ligament reconstruction.

Sahil Dadoo, Koji Nukuto, Efstathios Konstantinou, Jumpei Inoue, Jacob Hartline, Jonathan D Hughes, James J Irrgang, Volker Musahl

Abstract read
In one paragraph

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

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sahil DadooDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.
Koji NukutoDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.
Efstathios KonstantinouDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.
Jumpei InoueDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.
Jacob HartlineDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.
Jonathan D HughesDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.
James J IrrgangDepartment of Physical Therapy, School of Health and Rehabilitation Sciences University of Pittsburgh Pittsburgh Pennsylvania USA.
Volker MusahlDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to evaluate the impact of surgical and anatomical variables, including graft type, femoral notch width and shape, posterior cruciate ligament (PCL) width and lateral femoral condyle (LFC) diameter, on femoral tunnel position during anterior cruciate ligament reconstruction (ACLR). Methods: All consecutive patients who underwent primary ACLR between 2017 and 2021 were retrospectively reviewed. Femoral tunnel position was evaluated in the posterior-to-anterior (P-A) and proximal-to-distal (P-D) directions using the quadrant method. Surgical and anatomical variables (including patient demographics, ACLR graft type, femoral notch width and shape, PCL width and LFC diameter) were compared between the most anterior and proximal quartiles of femoral tunnel positions to the rest of the cohort to identify variables associated with anterior and proximal femoral tunnel placement. Statistical tests included independent Results: A total of 372 patients (mean age: 25 years; 190 [51%] females) were included for analysis. Compared to the non-anterior group, the anterior quartile group had a higher proportion of bone-patellar tendon-bone (BPTB) autografts (38% BPTB vs. 22% BPTB; Conclusion: BPTB autograft use was associated with more anterior femoral tunnel placement, while an A-shape femoral notch, smaller LFC diameter and female sex were associated with more proximal femoral tunnel placement during primary ACLR. For clinical relevance, these data may be useful to surgeons to identify demographic, surgical and anatomical variables that may influence femoral tunnel position during primary ACLR. Level of Evidence: Level IV, case series.

Indexed as

ACL reconstructionfemoral notchfemoral tunnelpatellar tendon autografttunnel malposition

Identifiers

PMID42899268
PMCPMC13679887

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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.