Anterior cruciate ligament (ACL) injuries and bone tunnel enlargement (BTE) after ACL reconstruction (ACLR) remain frequent issues. Bone dust (BD) produced by tunnel preparation with osteogenic ability and reverse drilling (RD), an easy compaction technique, make it accessible to enhance tendon-bone healing in ACLR. We hyposize that RD and BD synergistically improve outcomes after arthroscopic ACLR by improving peritunnel bone and preventing BTE.
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IKDC Subjective Score
Timeframe: Patients will be followed up regularly at 3, 6, 9, 12, and 24 months after surgery.
Bone tunnel enlargement
Timeframe: Patients will be followed up regularly at 3, 6, 9, 12, and 24 months after surgery.