A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation

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...

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Autores principales:	Naiyer Asif, Mohammad Jesan Khan, K. P. Haris, Shah Waliullah, Anubhav Sharma, Danish Firoz
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Anterior cruciate ligament Adjustable-loop device Fixed-loop device Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/41dfccf71a27404f833ef6187b466233
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spelling	oai:doaj.org-article:41dfccf71a27404f833ef6187b4662332021-12-05T12:03:08ZA prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation10.1186/s43019-021-00124-02234-2451https://doaj.org/article/41dfccf71a27404f833ef6187b4662332021-12-01T00:00:00Zhttps://doi.org/10.1186/s43019-021-00124-0https://doaj.org/toc/2234-2451Abstract 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.Naiyer AsifMohammad Jesan KhanK. P. HarisShah WaliullahAnubhav SharmaDanish FirozBMCarticleAnterior cruciate ligamentAdjustable-loop deviceFixed-loop deviceOrthopedic surgeryRD701-811ENKnee Surgery & Related Research, Vol 33, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anterior cruciate ligament Adjustable-loop device Fixed-loop device Orthopedic surgery RD701-811
spellingShingle	Anterior cruciate ligament Adjustable-loop device Fixed-loop device Orthopedic surgery RD701-811 Naiyer Asif Mohammad Jesan Khan K. P. Haris Shah Waliullah Anubhav Sharma Danish Firoz A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation
description	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.
format	article
author	Naiyer Asif Mohammad Jesan Khan K. P. Haris Shah Waliullah Anubhav Sharma Danish Firoz
author_facet	Naiyer Asif Mohammad Jesan Khan K. P. Haris Shah Waliullah Anubhav Sharma Danish Firoz
author_sort	Naiyer Asif
title	A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation
title_short	A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation
title_full	A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation
title_fullStr	A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation
title_full_unstemmed	A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation
title_sort	prospective randomized study of arthroscopic acl reconstruction with adjustable- versus fixed-loop device for femoral side fixation
publisher	BMC
publishDate	2021
url	https://doaj.org/article/41dfccf71a27404f833ef6187b466233
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A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation

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