Publication Name	World Journal of Orthopedics
Manuscript ID	119085
Country	India

Category	Orthopedics
Manuscript Type	Correspondence
Article Title	Letter to the Editor: Anterior knee pain in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft and autologous bone grafting
Manuscript Source	Unsolicited Manuscript
All Author List	Prashant Tank and Dilip Kumar Sankhwar
Funding Agency and Grant Number
Corresponding Author	Prashant Tank, MD, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi 110049, Delhi, India. prashanttank12@gmail.com
Key Words	Knee; Anterior knee pain; Anterior cruciate ligament; Bone patellar tendon bone; Autograft
Core Tip	We read with interest the article by Byravamoni Venugopal et al addressing anterior knee pain following bone-patellar tendon-bone anterior cruciate ligament reconstruction using autologous bone grafting, an important issue related to donor-site morbidity. While the technique is innovative and cost-effective, several methodological limitations may affect interpretation of the findings. The exclusive reliance on the Kujala score, which is subjective and prone to ceiling effects, limits its ability to accurately quantify anterior knee pain severity. The retrospective design with telephonic follow-up further increases the risk of recall bias, particularly for activity-specific pain such as kneeling or squatting. Additionally, the lack of detailed reporting on associated intra-articular injuries introduces potential confounding, as these pathologies can independently influence postoperative pain and function. Finally, the absence of a control group restricts causal inference regarding the true benefit of donor-site bone grafting. Prospective controlled studies using pain-specific outcome measures are needed to confirm the clinical efficacy of this technique.
Citation	Tank P, Sankhwar DK. Letter to the Editor: Anterior knee pain in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft and autologous bone grafting. World J Orthop 2026; In press

Received	2026-01-19 03:06
Peer-Review Started	2026-01-19 03:06
First Decision by Editorial Office Director	2026-02-06 10:21
Return for Revision	2026-02-06 10:21
Revised	2026-02-14 16:37
Publication Fee Transferred
Second Decision by Editor	2026-04-23 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-23 10:44
Articles in Press	2026-04-23 10:44
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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