Table 2.

Advantages and Disadvantages of Anterior Tibiotalar Ligament Reconstruction

Advantages

Possibly better medial ankle joint stability and long-term clinical results

Less risk of other DL components via the intra-articular approach by arthroscopy

Only one more portal needed over conventional AM portal

Safe and reproducible tunnel creation

Anatomical reconstruction and lower postoperative risk of ROM restriction

Disadvantages

Longer tendon graft needed in cases of simultaneous reconstruction of medial and lateral ligaments

Possible risk of tunnel fracture

Basic arthroscopy skills needed

Need for intraoperative fluoroscopy

AM, anteromedial; DL, deltoid ligament; ROM, range of motion.