{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T23:02:07Z","timestamp":1788390127476,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical and radiological outcomes, including tunnel widening, and to evaluate graft status by second\u2010look arthroscopy after anterior cruciate ligament (ACL) reconstruction using 2 different femoral cortical suspension devices (fixed and adjustable loop).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy\u2010nine patients were included for this study. The patients were divided into 2 groups, 41 patients of fixed loop group (EndoButton) and 38 patients of adjustable loop group (TightRope). The Tegner activity, Lysholm knee score, Lachman test, and pivot\u2010shift test were compared between the 2 groups. Anterior stress radiographs and femoral tunnel widening on plain radiographs were also compared. Twenty\u2010seven patients (66%) in the EndoButton group and 21 patients (55%) in the TightRope group underwent the second\u2010look arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At the final follow\u2010up, the mean Tegner activity, Lysholm, and International Knee Documentation Committee scores were improved in both groups and there were no statistically significant differences (5.1 \u00b1 1.6 and 5.5 \u00b1 2.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .312; 90.4 \u00b1 7.8 and 91.0 \u00b1 6.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .525; and 87.4 \u00b1 6.7 and 88.7 \u00b1 5.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .127, respectively). There were no statistical significances in the both groups in terms of Lachman test and pivot\u2010shift tests (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .392, .559) as well as anterior stress radiographs (mean 3.2 \u00b1 1.4\u00a0mm and 2.9 \u00b1 1.1\u00a0mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .343). Moreover, radiologic measurements comparing femoral tunnel widening at proximal and distal half also showed no significant differences (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .540 and .412 on anteroposterior view;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .254 and .437 on lateral view). In the second\u2010look arthroscopy findings for graft tear and synovial coverage, there were no significant differences (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .784 and .897).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both fixed loop and adjustable loop devices in ACL reconstruction provided good clinical and radiological outcomes. In patients with both devices, femoral tunnel widening at proximal and distal portion have no significant differences after ACL reconstruction. Moreover, second\u2010look arthroscopy revealed no significant differences in terms of synovial coverage and rupture of the graft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.01.051","type":"journal-article","created":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T09:39:57Z","timestamp":1557308397000},"page":"1736-1742","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Comparison of Clinical and Radiologic Outcomes and Second\u2010Look Arthroscopic Findings After Anterior Cruciate Ligament Reconstruction Using Fixed and Adjustable Loop Cortical Suspension Devices"],"prefix":"10.1002","volume":"35","author":[{"given":"Hyeon Wook","family":"Ahn","sequence":"first","affiliation":[{"name":"Center for Joint Disease Chonnam National University Hwasun Hospital Joennam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Keun","family":"Seon","sequence":"additional","affiliation":[{"name":"Center for Joint Disease Chonnam National University Hwasun Hospital Joennam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Kyoo","family":"Song","sequence":"additional","affiliation":[{"name":"Center for Joint Disease Chonnam National University Hwasun Hospital Joennam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chan Jin","family":"Park","sequence":"additional","affiliation":[{"name":"Center for Joint Disease Chonnam National University Hwasun Hospital Joennam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong An","family":"Lim","sequence":"additional","affiliation":[{"name":"Center for Joint Disease Chonnam National University Hwasun Hospital Joennam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,6]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"66344","article-title":"Biomechanical analysis of human ligament grafts used in knee\u2010ligament repairs and reconstructions","author":"Noyes F.R.","year":"1984","journal-title":"J\u00a0Bone Joint Surg Am."},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100010104"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500603"},{"key":"e_1_2_2_5_2","first-page":"21299","article-title":"Relationship between changes in length and force in\u00a0vitro reconstructed anterior cruciate ligament","author":"Muneta T.","year":"1993","journal-title":"Am J Sports 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