2023
DOI: 10.1177/23259671231168885
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The “N+10 Rule” to Avoid Graft-Tunnel Mismatch in Bone–Patellar Tendon–Bone ACL Reconstruction Using Independent Femoral Tunnel Drilling

Abstract: Background: Graft-tunnel mismatch (GTM) is a common problem in anterior cruciate ligament (ACL) reconstruction (ACLR) using bone–patellar tendon–bone (BPTB) grafts. Hypothesis: Application of the “N+10 rule” in endoscopic ACLR with BPTB grafts will result in acceptable tibial tunnel length (TTL), minimizing GTM. Study Design: Controlled laboratory study. Methods: Endoscopic BPTB ACLR was conducted on the paired knees of 10 cadaveric specimens using 2 independent femoral tunnel drilling techniques—accessory ant… Show more

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