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. 2022 Sep 21;11(9):e1633–e1640. doi: 10.1016/j.eats.2022.05.010

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