ArticleOrthopaedic journal of sports medicine2025
Comparison of Outcomes Between a Fixed-Loop Cortical Suspensory Device and Metal Interference Screw for Femoral Fixation of Bone-Patellar Tendon-Bone Grafts in Anterior Cruciate Ligament Reconstruction: A Scandinavian Registry Study.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Greater deformation and lower stiffness, but similar ultimate failure strength with fixed-loop cortical suspensory device compared to metal interference screw for femoral fixation of bone-patellar tendon-bone grafts in anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2026Article
- Patella tendon autograft use and A-shaped femoral notch are associated with more anterior and proximal femoral tunnel placement during anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Use of a cortical suspensory device (CSD) is an alternative fixation method for bone-patellar tendon-bone (BPTB) in the femur. To the authors' knowledge, no study has compared revision outcomes and patient-reported outcomes (PROs) with the traditional interference screw (IS) fixation. Purpose: To compare the survival rate of grafts fixated on the femoral side with either a fixed-loop CSD or IS for primary anterior cruciate ligament reconstructions (ACLRs) with BPTB autograft 2 and 5 years after index surgery, as well as to compare PROs between the same 2 treatment groups based on data from 3 National Knee Ligament Registers (NKLRs) in Scandinavia. Study Design: Cohort study; Level of evidence, 2. Methods: The study included patients registered in the NKLRs of Norway, Denmark, and Sweden who underwent primary ACLR from 2005 to 2021. Patients undergoing additional surgery for concomitant injuries to the posterior cruciate ligament, lateral collateral ligament, or medial collateral ligament and patients with major cartilage lesions were excluded. Cox regression models with and without adjustment for possible confounding from age, sex, meniscal and chondral injury, tibial fixation, surgical time, time from injury to surgery, injury mechanism, and country were used to calculate hazard ratios (HRs) and 95% confidence intervals. The possible effects of femoral fixation on 1-year postoperative KOOS QoL and on change from preoperative to 1-year postoperative KOOS QoL were analyzed using multiple linear regression with adjustment from possible confounding from the same variables. Results: A total of 13,955 primary ACLRs met the inclusion criteria during the study period; 1852 patients (13%) had a femoral CSD fixation and 12,103 patients (87%) a femoral IS fixation. No significant difference was observed in overall risk of revision between CSD and IS (HR, 1.10; 95% CI, 0.83 to 1.47; Conclusion: Data from the Scandinavian NKLRs showed no difference in the risk of revision and no difference in the KOOS QoL for fixed-loop CSD fixation compared with IS fixation on the femoral side with BPTB grafts in primary ACL reconstruction.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.