Table 1.

Advantages and Disadvantages of All-Epiphyseal Double-Bundle ACL Reconstruction for Skeletally Immature Patients

Advantages

Physeal injury is avoided.

Harvesting of only the semitendinosus tendon is required.

A small-diameter tunnel is used.

The native ACL footprints (femoral and tibial) are restored.

Revision surgery is simplified.

Disadvantages

The procedure is technically demanding.

An extra lateral incision is required for the outside-in technique.

Cortical suspensory devices are placed within the joint.

No evidence of clinical advantages has been observed in skeletally immature patients.

ACL, anterior cruciate ligament.