Peroneus longus tendon graft for anterior cruciate ligament reconstruction: A case report and review of literature

Abstract

Introduction The anterior cruciate ligament (ACL) is one of the most frequently injured structures of the knee joint. Anterior cruciate ligament reconstruction (ACLR) provides surgical restoration of the injured ACL using the placement of graft material. The choice of graft is principal in providing optimal knee stability after surgery. Peroneus longus tendon (PLT) is an autograft modality that offers unique benefits for ACL reconstruction cases. Presentation of case We present a case of ACL reconstruction surgery using PLT graft in a patient with a confirmed ACL rupture. Assessment of post-surgical pain, knee stability, and ankle function were performed to determine functional outcome and donor site morbidity. The follow-up results revealed favorable recovery and improvement in all objective parameters. Discussion Post-operative biomechanical outcomes were evaluated using the International Knee Documentation Committee (IKDC) and the American Orthopedic Foot and Ankle Score (AOFAS) score. The use of PLT in ACL reconstruction established an excellent potential for its satisfactory result and comparable to other graft modalities in widely used evidence-based findings. Conclusion Peroneus longus tendon may be considered the first-option graft in ACL reconstruction as it indicated the absence of significant post-operative morbidity.

Is Peroneus longus autograft a better alternative to the Hamstring autograft for anterior cruciate ligament reconstruction? – A randomised control study

“…AOFAS analysis was 100% at end of 1 year and Wiradiputra et al concluded that peroneus longus can be used as the first option in ACL reconstruction. 20…”

“…AOFAS analysis was 100% at end of 1 year and Wiradiputra et al concluded that peroneus longus can be used as the first option in ACL reconstruction. 20 A 2 year follow-up of patients who underwent peroneus longus graft for ACL reconstruction by Sholahuddin observed that excellent IKDC, MCS, Tegner-Lysholm score, AOFAS, FADI scores. Good graft diameter was harvested, thigh hypotrophy was less, with excellent ankle function and a better serial hop test result was achieved.…”

Novas técnicas de enxertia para reconstrucão do LCA: Artigo de atualização

“…These studies consistently demonstrate positive results, supporting the viability of autologous peroneus longus tendon graft as a good graft option in reconstructions. [37][38][39][40] In terms of functional results, patients undergoing ACL reconstruction using the peroneus longus tendon autograft achieved excellent scores on several assessment tools, the main ones being the IKDC, Modified Cincinnati, Tegner-Lysholm, AOFAS and FADI scores. 35,41,42 These scores indicate good knee function, ankle stability, and overall patient satisfaction.…”

“…Donor ankle activity was not compromised as evidenced by positive scores on ankle function assessment tools and jumping tests. 35,36,40 Another factor that makes the peroneus longus muscle tendon an ideal candidate for ACL reconstruction is that it is technically safe and easy to remove. 46 The tendon is superficially located and its position is not difficult to access by adjacent structures, such as the tendons of the hamstring muscle.…”

Iatrogenic Foot Drop After Anterior Cruciate Ligament Reconstruction With Peroneus Longus Tendon Autograft: Report of a Rare Case

“…Peroneus longus tendon is an upcoming graft in ACL reconstruction. It demonstrated minimal post-operative morbidity from the ankle donor site because of biomechanical inconvenience [ 2 ].…”