Letter to the Editor: Surgical refinements and autologous bone grafting to reduce donor-site morbidity in bone-patellar tendon-bone anterior cruciate ligament-reconstruction

doi:10.5312/wjo.126137

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Oct 18, 2026; 17(10): 126137
Published online Oct 18, 2026. doi: 10.5312/wjo.126137

Letter to the Editor: Surgical refinements and autologous bone grafting to reduce donor-site morbidity in bone-patellar tendon-bone anterior cruciate ligament-reconstruction

Kushagra Pathak, Nitin Chauhan, Leela Venkata Sai Krishna Maramreddy, Ravi Mittal

Kushagra Pathak, Nitin Chauhan, Ravi Mittal, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India

Leela Venkata Sai Krishna Maramreddy, Department of Orthopaedics, Kasa Multispeciality Hospitals, Nellore 524001, Andhra Pradesh, India

Author contributions: Pathak K, Chauhan N, and Maramreddy LVSK were involved in writing the correspondence and it was reviewed and the revisions were done by Mittal R.

AI contribution statement: No use of AI tools.

Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.

Corresponding author: Leela Venkata Sai Krishna Maramreddy, FRCS, FRCS (Ed), Consultant, Postdoctoral Fellow, Department of Orthopaedics, Kasa Multispeciality Hospitals, Pogathota, Nellore 524001, Andhra Pradesh, India. krishna.mlv.sai@gmail.com

Received: July 27, 2026
Revised: September 11, 2026
Accepted: October 14, 2026
Published online: October 18, 2026
Processing time: 82 Days and 23 Hours

Core Tip

Core Tip: While bone-patellar tendon-bone autografts provide excellent stability in anterior cruciate ligament reconstruction, donor-site morbidity and anterior knee pain remain prevalent. In this reply we outlined a dual protective strategy to overcome these challenges, we performed meticulous handling of the soft tissues using oblique incisions and mallet-free osteotomes to protect both the nerves and cartilage with anatomical autologous bone grafting using tunnel-drilling debris, anterior knee pain shifts from an inevitable complication to an avoidable risk but a large-scale prospective studies are necessary to make it a preventable risk.