Table 1.

Advantages and Disadvantages of the Over-the-Top Technique of Revision ACL Reconstruction With Achilles Allograft and Associated Lateral Extra-Articular Tenodesis

Advantages	Disadvantages/Risks
•Eliminates concerns with femoral tunnel malpositioning, widening, and hardware removal	•Extra incision
•Avoids the risks and prolonged recovery associated with two-stage revision ACL-R	•Allograft use, with potentially increased risk of graft failure
•Restores rotatory stability	•Possible symptomatic hardware
•Unaffected by previous graft harvest
•Cost-effective graft fixation