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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2026; 17(1): 112677
Published online Jan 18, 2026. doi: 10.5312/wjo.v17.i1.112677
Published online Jan 18, 2026. doi: 10.5312/wjo.v17.i1.112677
Anterior knee pain in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft and autologous bone grafting
Adhitya Byravamoni Venugopal, Nitin Chauhan, Sunit Wani, Kushagra Pathak, Ravi Mittal, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India
Leela Venkata Sai Krishna Maramreddy, Department of Orthopaedics, Great Eastern Medical School, Srikakulam 532484, Andhra Pradesh, India
Co-first authors: Adhitya Byravamoni Venugopal and Nitin Chauhan.
Author contributions: Byravamoni Venugopal A and Chauhan N contributed equally in this work as co-first authors; Byravamoni Venugopal A, Chauhan N, Wani S, Maramreddy LVSK, and Pathak K were responsible for material preparation, data collection, and analysis; Byravamoni Venugopal A, Chauhan N, and Maramreddy LVSK revised the manuscript as per the journal reviewers; Byravamoni Venugopal A, Chauhan N, Maramreddy LVSK, and Mittal R designed the research study; Mittal R performed all surgeries; all authors participated in writing the original draft, and reviewed and edited the final manuscript, have read and agreed to the published version of the manuscript.
Institutional review board statement: This retrospective observational study was conducted after obtaining ethical approval from the Institutional Ethics Committee (All India Institute of Medical Sciences, New Delhi), No. AIIMSA4508/15.07.2025.
Informed consent statement: Written informed consent was obtained from the study participants for sharing their findings and pictures if any deidentifying their personal details.
Conflict-of-interest statement: The author has no relevant financial or non-financial interests to disclose.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Leela Venkata Sai Krishna Maramreddy, Assistant Professor, FRCS, FRCS (Ed), Department of Orthopaedics, Great Eastern Medical School, Ragolu, Srikakulam District, Andhra Pradesh, Srikakulam 532484, Andhra Pradesh, India.
Received: August 4, 2025
Revised: August 30, 2025
Accepted: November 11, 2025
Published online: January 18, 2026
Processing time: 160 Days and 2.6 Hours
Revised: August 30, 2025
Accepted: November 11, 2025
Published online: January 18, 2026
Processing time: 160 Days and 2.6 Hours
Core Tip
Core Tip: This study highlights that by utilizing bone already available from femoral and tibial tunnel drilling during bone-patellar tendon-bone anterior cruciate ligament reconstruction, routine bone grafting of donor tibial and patella harvest site defects is a simple and reproducible technique that results in excellent functional outcomes with minimal donor site morbidity. This method offers a cost-effective approach. The high Kujala scores and absence of clinically significant anterior knee pain in this cohort support the integration of this technique into standard surgical practice.