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Updated: Jul 17, 2026

Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
Published on: April 30, 2014
Simple Technique to Address Graft-Tunnel Mismatch in Bone-Patellar Tendon-Bone Anterior Cruciate Ligament
Nathan Moroski1, Geoff Marston1, Joshua R Eskew1
1Department of Orthopaedic Surgery, Prisma Health Upstate, Seneca, South Carolina, U.S.A.
Abstract:
Graft-tunnel mismatch during anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft is a significant problem, and it is imperative that the orthopaedic surgeon knows how to address this intraoperatively. Graft-tunnel mismatch has been reported to be as high as 20% during anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft. We present a technique that is easily reproducible using a simple whipstitch for backup fixation after trimming the tibial-sided bone block that gives reliable tension on the graft without necessitating adjustment of femoral fixation.
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