Table 1.

Advantages and Disadvantages

Advantages

Ease of technique reproducibility

Increases tendon cross sectional area for BTB graft

In addition to BTB being stiffer at time zero compared to soft tissue grafts, BioBrace also offers increased biomechanical strength at time zero.

Possibility of enhancing the anterior cruciate ligament graft biology with maturation, collagen thickness, and graft incorporation

BTB allograft has less variability in graft quality and sizing compared to autograft techniques

BioBrace acts as a collagen sponge to hold potential PRP, BMAC, or hemarthrosis blood as opposed to the allograft

BTB allograft reduces donor site morbidity compared to BTB autograft

Disadvantage

Increased cost due to allograft and BioBrace components

Increased time for graft preparation

Low risk of inflammatory response due to poly (l-lactide) microfilaments within BioBrace and inherent risks of allograft

Possibility of increased infection risk

Lack of long-term clinical outcomes

BTB, bone-tendon-bone; BMAC, bone marrow aspirate concentrate; PRP, platelet-rich plasma.