الفهرس 
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Abstract
ACL reconstruction is generally accepted as the most reliable method of re-establishing knee stability. The goal of ACL reconstruction is to return the patient to a previous level of function and preventing later degeneration of the knee. The best method to achieve such goals is through restoration of normal knee kinematics.
The cross pin fixation is a method used for tendon-bone fixation. It is not an anatomical fixation with recently described complications including improper placement (proud on the lateral or medial side of the femur), pin breakage and iliotibial band syndrome.
In the literature there is no significant difference in postoperative knee stability or graft failure rate between adjustable-loop and fixed-loop femoral cortical suspension in patients undergoing primary ACL reconstruction.(6)
Adjustable loop devices have the advantage of a ”one size fits all” approach, and the ability to tension these devices following button flipping allows for the intratunnel graft length to be maximized.
The aim of the work is to compare the clinical results of arthroscopic anterior cruciate ligament reconstruction using fixed and adjustable loop femoral cortical suspension devices.
This study included sixty patients. In thirty of them, the torn anterior cruciate ligament has been reconstructed arthroscopically using adjustable loop device while the other thirty have been managed arthroscopically using fixed loop device for the femur. Interference screws have been used for tibial fixation for the sixty patients. The duration of the follow up was 12 months as a minimum.
Steps of the reconstructive procedure included examination under anaesthesia, diagnostic arthroscopy, graft harvesting, graft preparation, drilling of the femoral and tibial tunnels, passing the graft, and fixation of the graft.
After ACL reconstruction, patients were encouraged to use cold therapy for 48 hours and to bear weight as tolerated with the use of crutches. All patients had followed up after 2 weeks for removal of stitches, 6 weeks, 3, 6 and 12 months. Accelerated rehabilitation program had followed and applied with an emphasis on full extension and weight bearing immediately post operatively and returning to unlimited sporting activities by six months postoperatively.
There was no statistically significant difference between associated meniscal injuries and lysholm score or objective IKDC scores in both groups.
This study concluded that there was no difference in the clinical outcome of the femoral fixed-loop and adjustable-loop using Lysholm and objective IKDC scores. Both fixed loop and adjustable loop devices in ACL reconstruction provided good clinical outcomes.