Bibliographic record
Abstract
Tunnel placement in anterior cruciate ligament reconstruction has continued to evolve over time. The aim of this article is to review this evolution and comment on the senior author's current preferred technique. Initially, tunnels were dependent on the technique available, and isometry was felt to be important. Now, trying to reproduce the anatomy is preferred. Surgical technique has evolved from open surgery, with large anterior approaches, to arthroscopic two-incision outside-in techniques. After that, the evolution has led to the transtibial technique with one incision, then back to two incisions using the anteromedial portal, and finally, no incisions with the "all-inside technique." Anatomic, biomechanical, and clinical studies have shown that using the footprint as the site for tunnels restores the native anterior cruciate ligament kinematics and controls not only anteroposterior translation, but also rotational motion. Surgeons should evolve their techniques, as science does, to improve results and give better care to their patients.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.004 | 0.004 |
| Science and technology studies | 0.001 | 0.005 |
| Scholarly communication | 0.003 | 0.007 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.002 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".