Hello; When I started fish keeping, undergravel filters were the norm. I used them for decades. I also used them with additional HOB power filters. I do not have any in operation righ now, but do have a couple in boxes somewhere. I cannot recall ever having a problem with a tank related to the undergravel type filter. They do not remove any detritis from a tank, so I usually have some sort of external filter in operation at the same time.
I did read in a post that a member said they were hard to clean. In my use they were never cleaned as a part of routine tank care, so I did not understand what was meant by that. I put them under the gravel and left them alone untill the tank was taken down for a total redo, usually many years later.