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[Music] [Music] uh good evening once again so my talk is on concepts of fixed loop and adjustable loop these devices so these are the suspensory fixation used in the acl reconstruction so the evolution of femoral side fixation came initially people were using transfixation pins and then move on to suspension fixation like fixed loop devices adjustable loop devices and also if you prefer to use indifferent screws that is aperture fixation with metals or bioscopes and sutures and staples are extra extra articular fixation devices so the fixed loop device is a first generation suspensory fixation its an extra articular device made of a metallic button and polyurethane ribbon so it keeps a graft intention to maintain the bone graft uh bone to graft interface for good for healing so the fixed loop device contains some titanium metallic button under lead suture the stronger lead suture where the button is pulled up and then the flipping suture and the polyurethane ribbon which encloses the
