Editorial Commentary: Are Adjustable-Length Loop Devices Adequate for Femoral Fixation of Anterior Cruciate Ligament Graft?

To date, there is no consensus regarding which type of cortical suspension device is biomechanically superior during anterior cruciate ligament reconstruction. Retensioning or knotting has been reported to improve the biomechanical profile of adjustable-length devices, although fixed-length devices demonstrated overall superior biomechanical properties. Intraoperative or postoperative loop slippage and graft displacement should be investigated in future clinical and radiographic studies including serial magnetic resonance imaging.