 The results of this study suggest that BP-TB may be superior to 2SHT and 4SHT in terms of joint laxity, patient reported outcome measures, PROMs, and rate of failure. However, it should be noted that the BP-TB group had the highest rate of AKP. Additionally, a longer time span between injury and surgery negatively impacted the outcome. This article was authored by Filippo Miglierini, Ernesto Torciello, and Dromahi Trivelas, and others.