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Research Paper | Orthopaedic Surgery | India | Volume 14 Issue 3, March 2025 | Popularity: 4.5 / 10
Early Clinical Outcomes of Arthroscopic ACL Reconstruction Using Peroneus Longus Tendon Autograft
Dr. Sandeep Kumar Deep, Dr. Varun Phogat, Dr. Manish Sharma
Abstract: Background: Peroneus Longus Tendon (PLT) graft use in ACL reconstruction offers several promising features, including faster harvesting, optimal graft thickness, and minimal impact on knee joint stabilizers. However, the impact of peroneus longus tendon (PLT) graft harvest on donor ankle morbidity has been a topic of debate, with conflicting opinions presented in various studies. This study aims to evaluate the efficacy of peroneus longus tendon autografts in ACL reconstruction and assess their impact on donor ankle function through clinical and functional outcome measures. Material and Method: The study involved 30 patients who underwent ACL reconstruction using a peroneus longus tendon (PLT) autograft with an endobutton and biointerference screw. The outcomes of the ACL reconstruction were evaluated using the Tegner-Lysholm and IKDC scores. Additionally, donor site morbidity in the foot and ankle following tendon harvesting was assessed using the American Orthopedic Foot and Ankle Society (AOFAS) and the Foot and Ankle Disability Index (FADI) scores. Result: The average age group in our study was 29.3 years with a range of 18 to 53 years. The mean peroneus longus tripled graft diameter in our study was 8.63 with a range of 7.7 to 9.6 mm. The mean IKDC score preoperatively was 54.3?6.34, and postoperatively at the final follow-up was 94.2?10.60. The mean Tegner-Lysholm score preoperatively was 59.5?8.8, and postoperatively it was 96.3?5.8. AOFAS score at final follow-up was 97.94?3.42 as compared preoperatively to 98.32?1.63, while FADI score at 12 months was 97.62?1.15 as compared to 98.08?2.85 preoperatively. Conclusion: The peroneus longus tendon (PLT) graft is a safe and effective alternative for arthroscopic ACL reconstruction and can be considered a primary graft choice. PLT grafts in ACL reconstruction result in significant functional improvements, as indicated by IKDC and Lysholm-Tegner scores. Furthermore, the excellent AOFAS and FADI scores at final follow-up indicate no significant donor site morbidity with preserved ankle function.
Keywords: ACL Reconstruction, Autograft, Peroneus Longus Tendon Graft, Donor ankle morbidity, Functional outcome
Edition: Volume 14 Issue 3, March 2025
Pages: 877 - 882
DOI: https://www.doi.org/10.21275/SR25315184945
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