Anterior Cruciate Ligament Reconstruction with ToggleLoc with ZipLoop System versus Transfix System. A Cost-Effectiveness Analysis

Abstract

BACKGROUND:To evaluate the cost-effectiveness of the reconstruction of the anterior cruciate ligament tears using either Tog-gleLoc with ZipLoop or Transfix systems. METHODS:This study is a cost-effectiveness analysis of patients with anterior cruciate ligament reconstruction, ToggleLoc with ZipLoop and Transfix systems in our clinic between 2011 and 2016. This study was a retrospective cross-sectional study of patient's demographic, clinical and financial data. The effectiveness of surgery on patients with anterior cruciate ligament reconstruction was determined by the Lysholm Knee Score Scale. We compared two systems with the cost-effectiveness ratio. RESULTS:In this study, 103 patients were included. According to the Lysholm Knee Score Scales in both groups, the findings showed that there was no difference in effectiveness between them. The ToggleLoc with ZipLoop technique was cost-effectiveness ratio 254,57 and the Transfix technique cost-effectiveness ratio was 378,33. CONCLUSION:According to our results, ToggleLoc with ZipLoop technique was a more cost-effective method than the Transfix technique in the anterior cruciate ligament reconstruction.

Both Adjustable and Fixed Loop Hamstring Tendon Graft Fixation Have Similar Clinical and Patient-Reported Outcomes in Anterior Cruciate Ligament Reconstruction

“…(In our study, we used the EndoButton CL (Smith & Nephew) (EB) and the ToggleLoc with ZipLoop (Zimmer Biomet) respectively). 6 , 7 , 8 , 9 ACL fixation devices appear to be the most widely used graft fixation devices in clinical practice. 10 There are numerous studies reporting the clinical and biomechanical outcomes of these individual fixation devices.…”