Fixed- versus adjustable-loop femoral fixation in anterior cruciate ligament surgery: Is one method clinically superior?

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dc.contributor.authorKaraduman, Zekeriya Okan
dc.contributor.authorArıcan, Mehmet
dc.contributor.authorSağlam, Sönmez
dc.contributor.authorYücel, Mücahid Osman
dc.contributor.authorDalaslan, Raşit Emin
dc.date.accessioned2026-07-01T11:33:51Z
dc.date.available2026-07-01T11:33:51Z
dc.date.issued2025
dc.departmentDüzce Üniversitesi
dc.description.abstractObjectives: This study aimed to compare fixed-loop and adjustable-loop femoral fixation systems in anterior cruciate ligament (ACL) reconstruction to determine whether one provides superior short-term clinical outcomes. Methods: This retrospective cohort study included 88 patients who underwent anatomic ACL reconstruction by the same surgical team at Düzce University Faculty of Medicine between January 01, 2018 and December 31, 2023. Patients were divided into two groups as those with a fixed-loop (n=39) and those with an adjustable-loop (n=49). A standard postoperative rehabilitation program was applied to all patients. Lysholm knee score, International Knee Documentation Committee (IKDC) score, Visual Analog Scale (VAS), and range of motion (ROM) were evaluated preoperatively and 6 months postoperatively as clinical evaluation parameters. Results: Both groups demonstrated significant improvement in VAS, Lysholm, and IKDC scores during the postoperative period (P<0.001). Postoperative Lysholm score was 77.5±14.8 and IKDC score was 64.4±10.7 in the fixed-loop group, while these values were 78.4±4.1 and 66.7±10.3 in the adjustable-loop group, respectively. There was no significant difference in postoperative scores between the groups (P>0.05). Conclusions: Fixed- and adjustable-loop femoral fixation systems used in ACL reconstruction show similar performance in terms of short-term clinical outcomes. Both methods can be safely preferred; the final choice of method should be based on the surgeon's experience and patient-specific factors. Further studies evaluating long-term outcomes are needed.
dc.identifier.dergipark1707845
dc.identifier.doi10.18621/eurj.1707845
dc.identifier.endpage965
dc.identifier.issn2149-3189
dc.identifier.issue5
dc.identifier.startpage957
dc.identifier.trdizinid1339363
dc.identifier.urihttps://doi.org/10.18621/eurj.1707845
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1339363
dc.identifier.urihttps://hdl.handle.net/20.500.12684/22774
dc.identifier.volume11
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofThe European Research Journal
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20260623
dc.subjectOrtopedi
dc.titleFixed- versus adjustable-loop femoral fixation in anterior cruciate ligament surgery: Is one method clinically superior?
dc.typeArticle

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