Abstract
Background: The anterior cruciate ligament (ACL) injury is considered the most common ligamentous injury in the knee and its reconstruction is essential for the overall knee stability. Adequate graft fixation is essential to facilitate a rehabilitation program that strives for early restoration of knee mobility & strength after ACL reconstruction (ACLR) with all soft tissue grafts.
Objectives: This research evaluates the functional outcomes of ACLR performed using an adjustable femoral cortical suspensory fixation device.
Methods: To find publications contrasting full tibial tunnel ACLR with all-inside technique employing an adjustable femoral cortical suspensory fixation device, we searched PubMed, Embase, and Cochrane. Eligibility, data extraction, and risk of bias were all performed on potentially relevant papers by two reviewers who were blind to each other's work. Random effects with mean variations as well as risk ratios for continuous in addition dichotomous factors were aggregated for the clinical outcome along with graft ruptures.
Results: The meta-analysis includes 10 research studies with a total of 613 individuals. Participants who underwent all-inside ACLR with adjustable femoral cortical suspensory fixation device or full tibial tunnel ACLR had similar functional outcomes, knee laxity as determined by the arthrometer, and graft rupture rates.
Conclusions: Based on this systematic review, we can conclude that using the adjustable suspensory fixation device for ACLR produces favorable functional outcomes as regards knee stability and mobility.
Keywords: ACL reconstruction, Fixed-loop device, Adjustable-loop device.