Peer-reviewedCC BYArthroscopy techniques
Backfilling Patellar and Tibial Harvest Sites Using Autologous Bone Reamings and Anterior Cruciate Ligament Remnant Tissue During Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction.
4 affiliations
- 1University of Illinois College of Medicine Rockford Illinois U.S.A.
- 2The Steadman Clinic Vail Colorado U.S.A.
- 3Hospital for Special Surgery New York New York U.S.A.
- 4Wake Forest School of Medicine Winston Salem North Carolina U.S.A.
Abstract
The bone-patellar tendon-bone autograft remains a common and often first-choice option for anterior cruciate ligament reconstruction. Nevertheless, a subset of patients suffer from chronic anterior knee pain at the site of graft harvest. Although prior literature has indicated that backfilling of the patellar and tibial defects decreases the risk of donor site pain, sourcing and harvesting of the graft material, as well as the management of the paratenon and underlying tendon defect, remains variable. This technical note and associated video describe our preferred technique for the backfilling of these defects using both bone and soft-tissue grafts, with paratenon preservation to improve containment and potentially incorporation of grafted material.
Related
- Autograft Selection in Anterior Cruciate Ligament Reconstruction: A Meta-Analysis of Patellar Tendon versus Hamstring Tendon Outcomes in Randomized Controlled Trials
- Functional Outcome in Arthroscopic Anterior Cruciate Ligament Reconstruction Using an Autologous Quadrupled Hamstring Tendon Versus Peroneus Longus Tendon Graft: A Comparative Study
- Autologous Peripheral Blood-Derived Stem Cells Combined with Platelet-Rich Plasma is Associated With Clinical and Radiological Improvement in Anterior Cruciate Ligament Ruptures—Preliminary Clinical and MRI Findings in 47 Consecutive Patients
- Patellar Tendon Allograft Reconstruction Using Achilles Graft With Traversing Suprapatellar Cerclage Limbs
- A novel segmental autologous great saphenous vein grafting technique for size-mismatched traumatic common femoral artery reconstruction
BibTeX
@article{kramer2026backfilling,
title = {{Backfilling Patellar and Tibial Harvest Sites Using Autologous Bone Reamings and Anterior Cruciate Ligament Remnant Tissue During Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction.}},
author = {Jack H Kramer and Donovan A Bronstein and Olivia M Jochl and Eddie K Afetse and Daniel R G Lind and Joseph J Ruzbarsky},
journal = {Arthroscopy techniques},
year = {2026},
month = oct,
doi = {10.1002/atn2.70318},
url = {https://europepmc.org/article/MED/42910140},
note = {CC BY},
}
RIS
TY - JOUR
TI - Backfilling Patellar and Tibial Harvest Sites Using Autologous Bone Reamings and Anterior Cruciate Ligament Remnant Tissue During Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction.
AU - Jack H Kramer
AU - Donovan A Bronstein
AU - Olivia M Jochl
AU - Eddie K Afetse
AU - Daniel R G Lind
AU - Joseph J Ruzbarsky
PY - 2026
DA - 2026/10/21
JO - Arthroscopy techniques
DO - 10.1002/atn2.70318
UR - https://europepmc.org/article/MED/42910140
AB - The bone-patellar tendon-bone autograft remains a common and often first-choice option for anterior cruciate ligament reconstruction. Nevertheless, a subset of patients suffer from chronic anterior knee pain at the site of graft harvest. Although prior literature has indicated that backfilling of the patellar and tibial defects decreases the risk of donor site pain, sourcing and harvesting of the graft material, as well as the management of the paratenon and underlying tendon defect, remains variable. This technical note and associated video describe our preferred technique for the backfilling of these defects using both bone and soft-tissue grafts, with paratenon preservation to improve containment and potentially incorporation of grafted material.
SN - 2212-6287
ER -