To date, there is no consensus regarding which type of cortical suspension device is biomechanically superior during anterior cruciate ligament reconstruction. Retensioning or knotting has been reported to improve the biomechanical profile of adjustable-length devices, although fixed-length devices demonstrated overall superior biomechanical properties. Intraoperative or postoperative loop slippage and graft displacement should be investigated in future clinical and radiographic studies including serial magnetic resonance imaging.
Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.