Abstract
Arthroscopic ligament repair has gained popularity as a minimally invasive alternative for addressing ankle instability, due to its minimally invasive nature, which offers significant advantages over traditional open procedures. These benefits include smaller incisions, reduced soft tissue dissection, and the ability to concurrently manage intra-articular pathology, contributing to its popularity among surgeons and patients alike. Despite these advantages, the procedure presents a range of technical challenges and potential complications that can impact patient outcomes. Persistent instability, improper tensioning, and issues related to suture anchors are some of the primary concerns. Understanding these complexities and employing targeted strategies to mitigate them is essential for improving patient outcomes. Continued research and refinement of surgical techniques will play a key role in enhancing the safety and efficacy of this procedure.