Table 2.

Advantages and disadvantages

Advantages

Arthroscopy enables better visualization of tissue quality and characterization.

Arthroscopy provides a chance to recognize and treat concomitant intra-articular pathologies.

Arthroscopy results in less postoperative swelling and discomfort.

Arthroscopic ligament repair provides better cosmetic results.

The technique provides a firm repair with the desired tension, which is achieved easily by pulling out the repair suture of the knotless anchor.

The technique does not require experience in knot-tying.

The knotless property of the ligament repair helps avoid complications such as neuritis and pain or discomfort arising from a prominent suture knot.

Disadvantages

Ankle ligament arthroscopic repair requires previous experience in ankle arthroscopy.

The technique is possible only when the quality of the ATFL remnant is suitable for repair.

The use of suture anchors increases the cost compared with some classic techniques.

ATFL, anterior talofibular ligament.