title: Suspensory fixation versus novel transverse crosspin for femoral fixation in anterior cruciate ligament reconstruction.
abstract: OBJECTIVE
  There is still no gold standard technique for graft fixation during anterior cruciate ligament reconstruction. We compared the functional outcomes of patients receiving either ToggleLoc with ZipLoop technology or Translig transverse crosspin device for femoral graft fixation.
  
  
  METHODS
  A total of 118 patients were randomly allocated into two groups to receive either Translig(®) transverse crosspin (Translig group 1: n = 51, mean age 28.34 ± 7.83 years, age 18-40 years) or ToggleLoc with ZipLoop technology (ToggleLoc group: n = 67, mean age 26.85 ± 8.76, age 16-41 years) for femoral graft fixation. Early and 1-year assessment was made with Lysholm knee scale, International Knee Documentation Committee Scoring, Tegner Activity Level Scale, KT-1000 arthrometer and pivot shift test.
  
  
  RESULTS
  Preoperative vs. postoperative functional parameters showed significant improvement in both groups. Two groups were similar in terms of Lysholm knee scale, IKDC and Tegner activity scores (p > 0.05). The KT-1000 arthrometer revealed slightly less anterior sliding in Translig group than that in ToggleLoc group (p > 0.05). ToggleLoc technique allowed a radiographically more horizontal placement of the graft than Translig technique.
  
  
  CONCLUSIONS
  Two distinct techniques used in this study are likely to be suitable for femoral graft fixation during anterior cruciate ligament reconstruction with the femoral tunnel being created via anteromedial approach.
authors.affiliation: Orthopedic and Traumatology Clinic, Hitit University Research and Training Hospital, 19100, Merkez, Corum, Turkey, sinanzehir@yahoo.com.
authors.forename: Sinan
authors.initials: S
authors.lastname: Zehir
authors.forename: Regayip
authors.initials: R
authors.lastname: Zehir
mesh_terms: D000293:Adolescent; D000328:Adult; D059549:Anterior Cruciate Ligament Reconstruction / Q000295:instrumentation / Q000379:methods*; D001858:Bone Nails; D005260:Female; D005269:Femur / Q000601:surgery*; D006801:Humans; D008297:Male; D020127:Recovery of Function; D016896:Treatment Outcome