A Prospective Randomized Study of Arthroscopic ACL Reconstruction with Adjustable- Versus Fixed-loop Device for Femoral Side Fixation

Overview

Journal Knee Surg Relat Res

Publisher Biomed Central

Date 2021 Dec 5

PMID 34863318

Citations 12

Authors

Naiyer Asif

Mohammad Jesan Khan

K P Haris

Shah Waliullah

Anubhav Sharma

Danish Firoz

Affiliations

Soon will be listed here.

Abstract

Purpose: Suspensory devices are extensively used in the management of anterior cruciate ligament (ACL) tear. They include fixed- and adjustable-loop devices. There are only a few studies comparing the efficacy of these two devices in the available literature. Therefore, the aim of this study is to compare clinical outcomes between the adjustable-loop device (group I) and fixed-loop device (group II).

Materials And Methods: This was a prospective randomized study. Both groups were equivalent in demographic, preoperative, and intraoperative variables. Twenty-three patients underwent femoral side graft fixation with adjustable-loop and 20 with fixed-loop devices. Four patients were lost to follow-up. Assessment of clinical outcome was done with International Knee Documentation Committee (IKDC) score, Lysholm score, and knee stability tests (Lachman test and pivot shift test). Patient evaluation was performed preoperatively and finally postoperatively 2 years after surgery.

Results: Postoperative IKDC scores of group I and II were 91.9 ± 3.6 and 91.5 ± 3.6, respectively, and Lysholm scores were 91.0 ± 3.6 and 91.4 ± 3.5, respectively, after 2 years; however, the difference in the outcomes was statistically insignificant (p > 0.05). Twenty patients (87%) in group I and 17 patients (85%) in group II had a negative Lachman test (p = 0.8). Twenty-two patients (95.7%) in group I and 19 patients (95%) in group II had a negative pivot shift test (p = 0.9).

Conclusion: ACL reconstruction with fixed- and adjustable-loop suspensory devices for graft fixation gives equivalent and satisfactory clinical results.

Level Of Evidence: 1.

Citing Articles

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PMID: 39336922 PMC: 11432479. DOI: 10.3390/jcm13185436.

Biomechanical Stability of Third-Generation Adjustable Suture Loop Devices Versus Continuous Loop Button Device for Cortical Fixation of ACL Tendon Grafts.

Deichsel A, Leibrandt L, Raschke M, Klimek M, Oeckenpohler S, Herbst E Orthop J Sports Med. 2024; 12(4):23259671241240375.

PMID: 38576875 PMC: 10993678. DOI: 10.1177/23259671241240375.

No Difference in Bone Tunnel Enlargement and Clinical Outcome between Cortical Suspension and Hybrid Femoral Fixation in Hamstring Anterior Cruciate Ligament Reconstruction.

Lin Y, Zhang L, Shen S, Chen Y, Xu L, Ji M Orthop Surg. 2024; 16(4):902-911.

PMID: 38444378 PMC: 10984824. DOI: 10.1111/os.14024.

Metal interference screw fixation combinations show high revision rates in primary hamstring tendon ACL reconstruction.

Kaarre J, Benvegnu N, Engler I, Nazzal E, Zsidai B, Hamrin Senorski E BMC Musculoskelet Disord. 2024; 25(1):2.

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Rehabilitation after Repair of Medial Meniscus Posterior Root Tears: A Systematic Review of the Literature.

Kim J, Lee M, Choi M, Kong D, Ha J, Kim J Clin Orthop Surg. 2023; 15(5):740-751.

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