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Table 2 Outcome measurement, graft type, and fixation materials of the studies

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

Author, year

Outcome measurement

Graft type/Graft thickness

Fixation material

All-inside

Full tibial tunnel

All-inside

Full tibial tunnel

 All-inside VS full tibial tunnel

  Desai et al., 2019 [8]

Lachman test, pivot shift, Tegner activity scale, Lysholm score, IKDC score, and complications (includes graft failure)

ST4 (74.4%), 9.0 mm (range, 8.0–10.5 mm; SD, 0.6 mm)

DGST, 8.3 mm (range, 7.0–10.0 mm; SD,–0.7 mm)

Femoral side: TightRope (Arthrex), Tibial side: GraftLink (Arthrex)

Femoral side: Endobutton (Smith &Nephew)(65%), TightRope (Arthrex)(34%), or RetroButton (Arthrex)(1%)

Tibial side: Interference screw Bio-Compression Screw (Arthrex)

  Kouloumentas et al., 2019 [3]

Lysholm score, IKDC score, KOOS, KSS, knee laxity assessment (use KT-1000 arthrometer), isokinetic testing, and graft failure

ST4, Femoral side:8.2 ± 0.7 mm

Tibial side: 8.3 ± 5.0 mm

DGST, Femoral side: 7.7 ± 0.5 mm

Tibial side: 7.7 ± 4.9 mm

Both femoral and tibial side: TightRope (Arthrex)

Femoral side: Flipptackâ„¢ button system (Karl Storz, Tuttlingen)

Tibial side: interference screw - Megafix (Karl Storz, Tuttlingen).

  Mayr et al., 2019 [9]

Pivot shift, Tegner activity scores, Lysholm score, IKDC score, knee laxity assessment (use KT-1000 arthrometer), hop testing, and tunnel diameter and volume measured with CT scans

ST4, Femoral side: 7.7 ± 0.8 mm

Tibial side: 8.0 ± 0.5 mm

DGST, Femoral side: 7.3 ± 0.5 mm

Tibial side: 7.9 ± 0.8 mm

Both femoral and tibial side: TightRope (Arthrex)

Both femoral and tibial side: Interference screw-BioComposite (Arthrex)

  Monaco et al., 2018 [10]

Tegner activity score, Lysholm scores, IKDC score, KSS, knee laxity assessment (use KT-1000 arthrometer), and tunnel diameter measured with CT scans

ST4

DGST

Both femoral and tibial side: TightRope (Arthrex)

Femoral side: TightRope (Arthrex)

Tibial side: interference screw- Deltascrew (Arthrex)

  Baldassarri et al., 2018 [11]

Marx score, Tegner activity score, IKDC score, and return to sport

NA

NA

Both femoral and tibial side: suspensory cortical buttons

Both femoral and tibial side: Interference screw

  Volpi et al., 2014 [12]

Tegner activity score, Lysholm score, IKDC score, VAS

ST4

DGST

Both femoral and tibial side: suspensory cortical buttons

Femoral side: Interference screw or cortical suture button

Tibial side: interference screw

  Benea et al., 2013 [13]

IKDC score, VAS, knee laxity assessment (use Rollimeter arthrometer), tunnel position measured with X-ray

ST4

DGST

Femoral side: Tightrope (Arthrex)

Tibial side: SutureButton (Arthrex)

Femoral side: Interference screw

Tibial side: Interference screw

Suspensory cortical button fixation (suspensory fixation) VS Resorbable interference screw fixation (interference screw)

 

Suspensory fixation

Interference screw

Suspensory fixation

Interference screw

aColombet et al., 2016 [14]

knee laxity assessment (use GeNouRoB arthrometer), Graft and tunnel measurement with MRI

ST4

ST4

Both femoral and tibial side: PULLUP (Science & BioMaterials) suspensory system

Femoral side: PULLUP (Science & BioMaterials) suspensory system

Tibial side: Interference screw (LIGAFIX 60 (Science & BioMaterials))

aLubowitz et al., 2015 [15]

IKDC score, KSS, SF-12 score, VAS, narcotic consumption, knee laxity assessment (use KT-1000 arthrometer), and tunnel diameter measured with X-ray

2-strand tibialis posterior tendon

2-strand tibialis posterior tendon

Femoral side: RetroButton (Arthrex)

Tibial side: Titanium cortical button (Arthrex)

Femoral side: Interference screw-BioComposite (Arthrex)

Tibial side: interference screw- RetroScrew (Arthrex)

  1. ST4 Quadrupled semitendinosus tendon, DGST Doubled gracilis and semitendinosus tendons, IKDC International Knee Documentation Committee, KOSS Knee Injury and Osteoarthritis Score, KSS Knee Society Score, CT Computed tomography, VAS Visual analog score, SF-12 Short Form 12, MRI Magnetic resonance imaging
  2. aTwo studies (Colombet, 2016 and Lubowitz, 2015) partially met the inclusion criteria comparing suspensory cortical button fixation and interference screw fixation were included for the tunnel widening analysis