Table 2.

Advantages and Disadvantages

Advantages

Orients native collagen in direction of ACL graft

Advantages of standard anatomic ACL reconstruction are not forfeited

No loose stump in notch

Prevents cyclops lesion formation

Better healing and ligamentization

No extra implant

Disadvantages

Not possible in chronic injuries when stump has been resorbed

Tunnel drilling can be nonanatomic if visibility is not good, thus compromising advantages of standard anatomic ACL reconstruction

Need for antegrade suture-passing device and short flexible cannula

Care must be practiced while drilling tunnels

ACL, anterior cruciate ligament.