Table 1.

Advantages and Disadvantages of LET With Staple Fixation Technique

Advantages

Gives additional stabilization to ACL repair or reconstruction

Does not require expensive implants and instruments

Gives an option to perform looping over the LCL, therefore combining LET techniques

Avoids drill-hole convergence with ACL tunnels vs using a suture anchor

Risks and disadvantages

Requires an additional skin incision during the ACL repair or reconstruction procedure

Risks peroneal nerve injury if dissection is carried too far inferiorly

Risks LCL injury if proper identification and dissection are not performed

Requires the proper type and size of staple

ACL, anterior cruciate ligament; LCL, lateral collateral ligament; LET, lateral extra-articular tenodesis.