Table 2.

Advantages and Disadvantages

Advantages	Disadvantages
•One-stage Rev-ACLR with bone loss	•Not suitable technique in cases of extensive bone loss on both the tibia and the femur •Bone-to-bone healing just on one side
•An outside-in technique on the femur decreases risk of tunnel convergence
•Manage tibial bony defect with proper shaping of patellar bone block
•Adjustable loop fixation allows optimal tensioning of the graft
•Adequate autograft dimension
•Decreased donor-site morbidity compared with BPTB
•LEAP gives more stability to the knee with no differences for postoperative rehabilitation protocol

BPTB, bone–patellar tendon–bone; LEAP, lateral extra-articular procedure; Rev-ACLR, revision of anterior cruciate ligament reconstruction.