{"id":"https://openalex.org/W1977463540","doi":"https://doi.org/10.1007/s00167-009-0967-x","title":"How to avoid the risk of intraoperative cartilage damage in anatomic four tunnel double bundle anterior cruciate ligament reconstruction","display_name":"How to avoid the risk of intraoperative cartilage damage in anatomic four tunnel double bundle anterior cruciate ligament reconstruction","publication_year":2009,"publication_date":"2009-10-21","ids":{"openalex":"https://openalex.org/W1977463540","doi":"https://doi.org/10.1007/s00167-009-0967-x","mag":"1977463540","pmid":"https://pubmed.ncbi.nlm.nih.gov/19847403"},"language":"en","primary_location":{"id":"doi:10.1007/s00167-009-0967-x","doi":"https://doi.org/10.1007/s00167-009-0967-x","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s00167-009-0967-x","pdf_url":null,"source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011046297","display_name":"Rainer Siebold","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Rainer Siebold","raw_affiliation_strings":["Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","ATOS Hospital Heidelberg"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","institution_ids":[]},{"raw_affiliation_string":"ATOS Hospital Heidelberg","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090874219","display_name":"Ioannis S. Benetos","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ioannis S. Benetos","raw_affiliation_strings":["KAT Accident Hospital Nikis 2 Street 14561 Kifisia Greece","KAT Accident Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"KAT Accident Hospital Nikis 2 Street 14561 Kifisia Greece","institution_ids":[]},{"raw_affiliation_string":"KAT Accident Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006346999","display_name":"Nico Sartory","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nico Sartory","raw_affiliation_strings":["Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","ATOS Hospital Heidelberg"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","institution_ids":[]},{"raw_affiliation_string":"ATOS Hospital Heidelberg","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070001044","display_name":"Zhenming He","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I20231570","display_name":"Peking University","ror":"https://ror.org/02v51f717","country_code":"CN","type":"education","lineage":["https://openalex.org/I20231570"]},{"id":"https://openalex.org/I4210141942","display_name":"Peking University Third Hospital","ror":"https://ror.org/04wwqze12","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210141942"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhenming He","raw_affiliation_strings":["The Third Hospital of Peking University 49\u00a0North Garden St 100083 Beijing People's Republic of China","the Third Hospital of Peking University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Third Hospital of Peking University 49\u00a0North Garden St 100083 Beijing People's Republic of China","institution_ids":["https://openalex.org/I20231570","https://openalex.org/I4210141942"]},{"raw_affiliation_string":"the Third Hospital of Peking University","institution_ids":["https://openalex.org/I20231570","https://openalex.org/I4210141942"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018765756","display_name":"Nawid Hariri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nawid Hariri","raw_affiliation_strings":["Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","ATOS Hospital Heidelberg"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","institution_ids":[]},{"raw_affiliation_string":"ATOS Hospital Heidelberg","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5008253419","display_name":"Hans H. P\u00e4ssler","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hans H. P\u00e4ssler","raw_affiliation_strings":["Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","ATOS Hospital Heidelberg"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Knee and Foot Surgery Sports Traumatology ATOS Hospital Heidelberg Bismarckstrasse 9\u201015 69115 Heidelberg Germany","institution_ids":[]},{"raw_affiliation_string":"ATOS Hospital Heidelberg","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5011046297"],"corresponding_institution_ids":[],"apc_list":{"value":4300,"currency":"USD","value_usd":4300},"apc_paid":null,"fwci":3.7109,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.92197063,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"18","issue":"1","first_page":"64","last_page":"67"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-cruciate-ligament-reconstruction","display_name":"anterior cruciate ligament reconstruction","score":0.9430000185966492},{"id":"https://openalex.org/keywords/double-bundle-acl-reconstruction","display_name":"double-bundle ACL reconstruction","score":0.9110000133514404},{"id":"https://openalex.org/keywords/articular-cartilage-injury","display_name":"articular cartilage damage","score":0.7829999923706055},{"id":"https://openalex.org/keywords/intraoperative-complications","display_name":"intraoperative complications","score":0.5929999947547913},{"id":"https://openalex.org/keywords/anteromedial-portal-technique","display_name":"anteromedial portal technique","score":0.7139999866485596},{"id":"https://openalex.org/keywords/medial-femoral-condyle","display_name":"medial femoral condyle","score":0.9449999928474426},{"id":"https://openalex.org/keywords/medial-tibial-plateau","display_name":"medial tibial plateau","score":0.9200000166893005},{"id":"https://openalex.org/keywords/modified-surgical-technique","display_name":"surgical technique modification","score":0.8830000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7500864267349243},{"id":"https://openalex.org/C2778434673","wikidata":"https://www.wikidata.org/wiki/Q611127","display_name":"Anterior cruciate ligament","level":2,"score":0.73316890001297},{"id":"https://openalex.org/C2780550940","wikidata":"https://www.wikidata.org/wiki/Q502730","display_name":"Cartilage","level":2,"score":0.5169638991355896},{"id":"https://openalex.org/C2910895738","wikidata":"https://www.wikidata.org/wiki/Q12151385","display_name":"FEMORAL CONDYLE","level":3,"score":0.4858824610710144},{"id":"https://openalex.org/C2780887989","wikidata":"https://www.wikidata.org/wiki/Q4771338","display_name":"Anterior cruciate ligament reconstruction","level":3,"score":0.470578134059906},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.4604227542877197},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44708943367004395},{"id":"https://openalex.org/C2781032047","wikidata":"https://www.wikidata.org/wiki/Q938793","display_name":"Articular cartilage damage","level":5,"score":0.437883585691452},{"id":"https://openalex.org/C96646087","wikidata":"https://www.wikidata.org/wiki/Q978198","display_name":"Condyle","level":2,"score":0.434383749961853},{"id":"https://openalex.org/C3020332539","wikidata":"https://www.wikidata.org/wiki/Q2014564","display_name":"Articular cartilage","level":4,"score":0.42531895637512207},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.41756510734558105},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.26269033551216125},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.055318593978881836},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000070598","descriptor_name":"Anterior Cruciate Ligament Injuries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001182","descriptor_name":"Arthroscopy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D001182","descriptor_name":"Arthroscopy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D002358","descriptor_name":"Cartilage, Articular","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":true},{"descriptor_ui":"D005269","descriptor_name":"Femur","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":false},{"descriptor_ui":"D005269","descriptor_name":"Femur","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007431","descriptor_name":"Intraoperative Complications","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":false},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D016118","descriptor_name":"Anterior Cruciate Ligament","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1007/s00167-009-0967-x","doi":"https://doi.org/10.1007/s00167-009-0967-x","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s00167-009-0967-x","pdf_url":null,"source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},{"id":"pmid:19847403","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19847403","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.5199999809265137,"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1910080913","https://openalex.org/W1975837025","https://openalex.org/W1977353169","https://openalex.org/W1989135921","https://openalex.org/W2004806572","https://openalex.org/W2008236666","https://openalex.org/W2013209440","https://openalex.org/W2017010145","https://openalex.org/W2018067917","https://openalex.org/W2020575900","https://openalex.org/W2030777144","https://openalex.org/W2042628549","https://openalex.org/W2057212211","https://openalex.org/W2062659941","https://openalex.org/W2063009655","https://openalex.org/W2081754937","https://openalex.org/W2090463751","https://openalex.org/W2112877966","https://openalex.org/W2121069228","https://openalex.org/W2168517677","https://openalex.org/W3126389182","https://openalex.org/W3164481590","https://openalex.org/W4241623995"],"related_works":["https://openalex.org/W2113179201","https://openalex.org/W2053108966","https://openalex.org/W2064203098","https://openalex.org/W2062659941","https://openalex.org/W2029020972","https://openalex.org/W4249487752","https://openalex.org/W4210895483","https://openalex.org/W4400226041","https://openalex.org/W2051030666","https://openalex.org/W2327987578"],"abstract_inverted_index":{"Double":[0],"bundle":[1],"(DB)":[2],"anterior":[3],"cruciate":[4],"ligament":[5],"(ACL)":[6],"reconstruction":[7],"is":[8],"technically":[9],"demanding.":[10],"In":[11,109],"order":[12],"to":[13,54,105,124,129],"create":[14],"four":[15,140],"anatomical":[16,139],"anteromedial":[17,77],"(AM)":[18],"and":[19,31,83,134],"posterolateral":[20],"(PL)":[21],"bone":[22,33,85,94],"tunnels":[23],"many":[24],"surgeons":[25],"adopt":[26],"new":[27],"ways":[28],"of":[29,116],"tibial":[30,62,90,136],"femoral":[32,57,81,132],"tunnel":[34,86,95,141],"drilling.":[35],"From":[36],"surgical":[37,107,117],"experience,":[38],"these":[39],"technical":[40,112],"changes":[41],"might":[42],"increase":[43],"the":[44,55,60,68,106,130],"risk":[45],"for":[46,67,80],"intraoperative":[47,50],"pitfalls.":[48],"An":[49],"articular":[51,126],"cartilage":[52,127],"damage":[53,128],"medial":[56,61,131,135],"condyle":[58,133],"or":[59,88,92],"plateau":[63,137],"could":[64],"be":[65,72,100],"disastrous":[66],"patient.":[69],"It":[70],"may":[71,99,122],"caused":[73],"by":[74,102],"an":[75],"insufficient":[76],"portal":[78],"technique":[79],"AM":[82,91],"PL":[84,93],"drilling":[87],"flat":[89],"reaming.":[96],"Potential":[97],"pitfalls":[98],"avoided":[101],"small":[103],"modifications":[104],"technique.":[108],"this":[110],"present":[111],"note,":[113],"a":[114],"sequence":[115],"steps":[118],"are":[119],"described,":[120],"which":[121],"help":[123],"avoid":[125],"in":[138],"DB":[142],"ACL":[143],"reconstruction.":[144]},"counts_by_year":[{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":6}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
