Table 2.

Advantages and Disadvantages

Advantages

Safe and reproducible tunnel creation

Stronger graft and less risk of ligament rupture recurrence

Anatomical reconstruction and less postoperative risk of range of motion restriction

Only 2 looking portals and shorter learning curve

Smaller operative scar formation

Less risk of superficial peroneal nerve damage

Optional technique for the graft fixation in the fibular tunnel in patient with lower bone quality

Optional technique when the screw is not firmly fixed

Disadvantages

Possible longer operative time than open technique

Possible risk of tunnel fracture

Necessary for the basic arthroscopy skill

Usage of intraoperative fluoroscopy