Table 2.

Advantages and Disadvantages

Advantages

Possible improved stability of the subtalar joint and long-term clinical results

Salvageable after reluctant LTCL dissection in the arthroscopic ATFL and CFL reconstruction

Only 3 portals, the same as the arthroscopic ATFL and CFL reconstruction technique

Safe and reproducible tunnel creation

Anatomical reconstruction and less postoperative risk of ROM restriction

Disadvantages

A longer tendon graft is necessary

Possible risk of tunnel fracture

Necessary for basic arthroscopy skills

Use of intraoperative fluoroscopy

ATFL, anterior talofibular ligament; CFL, calcaneofibular ligament; LTCL, lateral talocalcaneal ligament; ROM, range of motion.