Table 2.

Advantages and Disadvantages

Advantages	Disadvantages
Allows for less invasive surgical incisions	Cost
Improved cosmesis	Graft availability
Graft can be prepped while patient is intubated and draped, saving time	Potential for transmission of infectious diseases
Avoids donor site morbidity	Lack of surgeon experience with this graft
Less traumatic to the extensor mechanism	Less biomechanical strength than autograft depending on sterilization techniques; we recommend nonirradiated graft.
Graft familiarity for BTB ACL surgeons	Higher rerupture rate based on activity level and sterilization process

ACL, anterior cruciate ligament; BTB, bone–patellar tendon–bone autograft.