This is the protocol for a review and there is no abstract. The objectives are as follows:
To assess the effects (benefits and harms) of different methods and devices for graft fixation in anterior cruciate ligament (ACL) reconstruction.
In setting out our comparisons, we will group those relating to femoral fixation separately from those relating to tibial fixation. For femoral fixation, we will compare devices based on different mechanisms of fixation, the same mechanism of devices, new versus old, hardware-free versus hardware, and hybrid versus single. For tibial fixation, we will compare intratunnel versus extratunnel fixation devices, and different commonly-used devices.
We will not include the comparison of bioabsorbable versus metallic interference screws, as this is covered in another Cochrane review (Debieux 2012).