Clinical outcomes of anterior cruciate ligament reconstruction using loop cruciate ligament fixation system

Abstract

Background: Anterior cruciate ligament (ACL) injuries cause knee instability and are associated with articular degeneration. ACL reconstruction is considered the primary treatment option for most cases. The study aimed to observe the clinical outcomes of ACL reconstruction using a Loop cruciate ligament fixation system. Methods: This retrospective, multi-center study enrolled 187 patients who underwent arthroscopic ACL reconstruction using the LoopLoc CL fixation system and SlideRope Adjustable Loop (ArthroTEC, MJ Surgical, Ahmedabad, India). Among 187 patients, 179 received the targeted device for ACL reconstruction in the knee, seven received it for acromioclavicular joint fixation in the shoulder, and one received it for stabilization and repair in the foot/ankle. The patients were evaluated preoperatively, intraoperatively, and postoperatively at 1-month, 3-month, 12-month, 2-year, and 5-year follow-up periods. The evaluation was based on the international knee documented committee score (IKDC), visual analog scale score (VAS), Lysholm score, and knee injury and osteoarthritis outcome score (KOOS). The patient enrollment was conducted retrospectively, but the follow-up was planned to be carried out prospectively. Results: The study found a significant improvement in the clinical outcomes with a low failure and complication rate among the patients. The mean deviation of patients with knee implantation showing IKDC score from baseline to 5-year was 17.58±2.56 to 91.48±3.05 (p<0.0001), while the VAS, Lysholm score, and KOOS also showed significant improvement. The study suggests that loop cruciate ligament may be a promising option for ACL reconstruction. Conclusions: The study suggests that loop cruciate ligament may be a promising option for ACL reconstruction.