Mid‐Term Tibial Tunnel Enlargement and Graft Maturation After <scp>ACL</scp> Reconstruction: A 5‐Year Follow‐Up Linking Morphological Dynamics to Knee Function

Tibial tunnel enlargement progressed until 2 years post-ACLR, then partially regressed by 5 years. BTE was associated with graft healing at 2 years and with anterior knee stability at 5 years but had no significant adverse impact on long-term clinical outcomes.