Fixed-loop and adjustable-loop femoral fixation provide comparable outcomes after anterior cruciate ligament reconstruction: A meta-analysis of comparative studies.

Adjustable-loop and fixed-loop femoral fixation provide comparable clinical, functional, and stability outcomes following anterior cruciate ligament reconstruction.

Although adjustable-loop fixation was associated with more grade 0 Lachman examinations, this did not translate into differences in objective stability or patient-reported outcomes.

Fixation choice should be guided by surgical considerations rather than expectations of superior outcomes.