Advantages |
The approach is less tangential to the lesion. |
The lateral tibial spine is avoided. |
The surgeon can easily perform suture placement with 1 hand in a figure-of-4 position. In contrast, in an extreme figure-of-4 position, the proximity of the knee to the operating table may limit access to the anterolateral portal for device insertion. |
A direct view is achieved, which allows the surgeon to control the quality of the suture. |
Disadvantages |
An additional arthroscopic portal is required. |
There is a theoretical risk of patellar tendinitis. |
There is a potential risk of anchor migration in the joint in the case of improper anchor seating. |