Table 2.

Advantages and Disadvantages

Advantages

Less morbidity

Trans-septal approach is safe and provides direct visualization of the footprints.

Anatomic reconstruction

Less risk of tibial tunnel malpositioning

Less exposure and tourniquet time may lead to low infection rates.

Disadvantages

Significant learning curve in trans-septal approach

Risk of vascular injury to the popliteal and the lateral inferior genicular arteries

More demanding to identify insertion sites of the posterolateral corner structures arthroscopically than when performing an open procedure