Is all-inside with suspensory cortical button fixation a superior technique for anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis

Table 1 Characteristic of included trials

Study name	Period	Study design, Level of evidence	No. of patients		Age		Follow-up time	Quality assessment
Study name	Period	Study design, Level of evidence	All- inside	Full tibial tunnel	All- inside	Full tibial tunnel	Follow-up time	Quality assessment
All-inside VS full tibial tunnel
Desai et al., 2019 [8]	July 2011 to July 2015	Cohort study; Level 3.	82	54	25.8 ± 10.2	21.1 ± 7.3	All-inside: 30.1 mons, Full tibial tunnel: 25.8 mons	^b8
Kouloumentas et al., 2019 [3]	2015 to 2016	RCT; level 1	45	45	27.6 ± 11.4	29.7 ± 11.0	24 mons	^a5
Mayr et al., 2019 [9]	2013 to 2016	RCT; Level 2	17	16	26 ± 6	29 ± 7	24 mons	^a2
Monaco et al., 2018 [10]	Jan 2016 to June 2016	Cohort study; Level 3	22	22	32.5 ± 6.7	31.7 ± 7.1	24 mons	^b8
Baldassarri et al., 2018 [11]	Nov 2012 to Sep 2013	RCT; Level 2	28	31	24.7	25.2	48 mons	^a2
Volpi et al., 2014 [12]	2007 to 2008	Cohort study; Level 3	20	20	38.4 ± 10.8	32.6 ± 9.3	24 mons	^b5
Benea et al., 2013 [13]	Dec 2010 to Sep 2011	RCT; Level 1	22	22	28.4 ± 8.6	30.2 ± 9.4	6 mons	^a3
Suspensory cortical button fixation (suspensory fixation) VS Resorbable interference screw fixation (interference screw)
			Suspensory fixation	Interference screw	Suspensory fixation	Interference screw
^cColombet et al., 2016 [14]	Feb 2014 to Sep 2014	Prospective cohort study; level 2	60	49	28.9 ± 9.5	27.6 ± 6.8	6.6 mons	^b8
^cLubowitz et al., 2015 [15]	NA	RCT; Level 1	31	27	40.2 ± 11.9	41.6 ± 9.1	24 mons	^a3

ST4 Quadrupled semitendinosus tendon, DGST Doubled gracilis and semitendinosus tendons, RCT Randomized controlled trial
^aindicates that the study was evaluated using Jadad’s scale
^bindicates that the study was evaluated by Newcastle–Ottawa scale
^cTwo studies (Colombet, 2016 and Lubowitz, 2015) that partially met the inclusion criteria comparing suspensory cortical button fixation and interference screw fixation were included for tunnel widening analysis

ISSN: 1471-2474