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. 2020 Dec 21;9(12):e1927–e1935. doi: 10.1016/j.eats.2020.08.025

Table 3.

Advantages and Disadvantages of Double-Bundle Repair of the Anterior Cruciate Ligament With Internal Brace Augmentation and a Knotless Suture Implant

Advantages Disadvantages
Maintains the anatomical structure of the ACL and proprioceptive sensation Possible stress shielding of repaired ACL
Enhances the mechanical properties of the repaired ACL and protects repaired ACL during the healing process Potential for overconstraining the joint
Allows for accelerated rehabilitation There is a certain degree of technical difficulty, and a certain learning curve is needed.
The bone mass and ACL stump are preserved, providing conditions for ACL reconstruction after failed ACL repair. It is necessary to take enough ACL remnant to avoid failure.
Biocompatibility

ACL, anterior cruciate ligament.