Adjustable Versus Fixed Loop Devices and Revision Risk After Primary ACL Reconstruction With Hamstring Autograft

This registry-based cohort study found no difference in the risk of revision when ALD and FLD were compared with interference screw, or when ALD was directly compared with FLD, for femoral fixation of hamstring tendon autografts. There was a higher risk of ipsilateral reoperation with FLD compared with ALD. Surgeons can use these data when choosing fixation for hamstring tendon autograft ACLR.