Publication Name	World Journal of Orthopedics
Manuscript ID	126137
DOI	10.5312/wjo.126137
Country	India

Category	Orthopedics
Manuscript Type	Correspondence
Article Title	Letter to the Editor: Surgical refinements and autologous bone grafting to reduce donor-site morbidity in bone-patellar tendon-bone anterior cruciate ligament-reconstruction
Manuscript Source	Unsolicited Manuscript
All Author List	Kushagra Pathak, Nitin Chauhan, Leela Venkata Sai Krishna Maramreddy and Ravi Mittal
Funding Agency and Grant Number
Corresponding Author	Leela Venkata Sai Krishna Maramreddy, Consultant, FRCS, FRCS (Ed), Postdoctoral Fellow, Department of Orthopaedics, Kasa Multispeciality Hospitals, Pogathota, Nellore 524001, Andhra Pradesh, India. krishna.mlv.sai@gmail.com
Key Words	Anterior cruciate ligament reconstruction; Bone-patellar tendon-bone autograft; Anterior knee pain; Donor-site morbidity; Bone grafting
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.
Citation	Pathak K, Chauhan N, Maramreddy LVSK, Mittal R. Letter to the Editor: Surgical refinements and autologous bone grafting to reduce donor-site morbidity in bone-patellar tendon-bone anterior cruciate ligament-reconstruction. World J Orthop 2026; In press DOI: https://doi.org/10.5312/wjo.126137
PDF	126137-in-press.pdf

Received	2026-07-27 08:12
Peer-Review Started	2026-08-04 03:03
First Decision by Editorial Office Director
Return for Revision	2026-08-28 09:07
Revised	2026-09-11 06:46
Publication Fee Transferred
Second Decision by Editor	2026-10-14 05:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-14 08:59
Articles in Press	2026-10-14 08:59
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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