Functional outcome of arthroscopic anterior cruciate ligament reconstruction using variable loop cortical suspensory fixation

Anterior cruciate ligament (ACL) injury is more common in men than women. Variable loop cortical suspensory fixation is an excellent graft fixation device, which provides an option for further tightening the graft even after the tibial end fixation is done if the surgeon feels it is needed. At 3-month follow-up, ACL reconstruction using the novel variable loop cortical suspensory fixation device granted an improvement in mean LYSHOLM score from 19.91 preoperatively to 85.59 at 3-month follow-up, which is a statistically very significant clinical and functional outcome. The principal advantage of the ACL reconstruction using variable loop cortical suspensory fixation is that it uses the ability to re-tension the graft after tibial fixation. A taut ACL construct is crucial during postoperative rehabilitation to reduce the risk of knee instability and re-rupture of the ACL graft. We conclude that the technique described here is a simple, robust, and effective approach to minimize graft laxity, and thereby leave a snug ACL construct. In addition, re-tensioning of the graft after tibial fixation eliminates the need for a posterior drawer on the knee, as the resulting laxity will be removed with re-tensioning.