Publication Name	World Journal of Orthopedics
Manuscript ID	117568
Country	Argentina

Category	Orthopedics
Manuscript Type	Letter to the Editor
Article Title	Anterior knee pain after anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft: Inevitable or avoidable with autologous bone grafting?
Manuscript Source	Invited Manuscript
All Author List	Agustina Olaran and Ignacio Garcia-Mansilla
Funding Agency and Grant Number
Corresponding Author	Ignacio Garcia-Mansilla, MD, Division of Knee, Hospital Italiano de Buenos Aires, Juan Domingo Perón 4190, Buenos Aires 1109, Argentina. ignaciogmansilla@gmail.com
Key Words	Anterior knee pain; Bone-patellar tendon-bone; Autologous grafts; Anterior cruciate ligament reconstruction; Donor site morbidity
Core Tip	This study challenges the long-held belief that anterior knee pain is an inevitable consequence of anterior cruciate ligament reconstruction using bone-patellar tendon-bone grafts. By employing autologous bone grafting to fill donor site defects, the researchers demonstrate a significant reduction in postoperative anterior knee pain, with 95.8% of patients pain-free at one year. This innovative approach not only emphasizes the importance of effective donor site management but also presents a cost-effective, biologically sound strategy that could enhance patient outcomes and redefine surgical practices in anterior cruciate ligament reconstruction.
Citation	Olaran A, Garcia-Mansilla I. Anterior knee pain after anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft: Inevitable or avoidable with autologous bone grafting? World J Orthop 2026; In press

Received	2025-12-10 01:08
Peer-Review Started	2025-12-10 01:08
First Decision by Editorial Office Director	2025-12-18 09:35
Return for Revision	2025-12-18 09:35
Revised	2025-12-30 15:41
Publication Fee Transferred
Second Decision by Editor	2026-01-14 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-14 10:08
Articles in Press	2026-01-14 10:08
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com