Abstract Fixed-loop and adjustable-loop cortical suspensory fixation devices are both available as graft fixation options for surgeons. Fixed devices require facilities to manage various available sizes in the inventory, whereas adjustable devices are a true one-size-fits-all device requiring one inventory item for all cases. Adjustable-loop devices are also the only device that allows for postfixation tightening that may be advantageous for the surgeon who desires to tighten and retighten the graft construct once again before the case is completed.
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