Table 2.

Pearls and Pitfalls of the Proposed Technique

Pearls

Ensure proper support for the patient’s head and non-operative extremity to limit movement during the procedure

Inject lidocaine at both portal sites

Use a mixture of lidocaine with epinephrine and bupivacaine to limit bleeding

Help to prevent overtightening by having the patient plantarflex the ankle to about 30°.

Insert an instrument under the suture tape construct to ensure there is physiological laxity

Pitfalls

Incorrect placement of inferior and superior portal may cause Sural nerve injury

Overtightening of the suture tape which may lead to altering the normal integrity of the ligament complex, as well as restricting the motion of the subtalar joint

Debridement before a full diagnostic evaluation may lead to iatrogenic injury