Preliminary Result of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Anterior Half of Peroneus Longus Tendon Autograft

Trung, Dung Tran; Manh, Son Le; Thanh, Luan Nguyen; Dinh, Thien Chu; Dinh, Toi Chu

doi:10.3889/oamjms.2019.390

Cited by 21 publications

(14 citation statements)

References 8 publications

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“…These findings are similar to Shao's research, which calculated a general decrease of 22% of inversion and eversion strength after the use of full thickness peroneal grafting albeit the lack of ankle joint instability 16 . Their research conflicted with Liu and Trung's study to a certain extent, since they stated that none of their patients complained of ankle joints instability after they utilized only the anterior half of the peroneus longus tendon 6,17 . Further research might be needed since the fundamental difference about them is how only half PLT grafts were used instead of full thickness PLT grafts 2,6,16,17 .…”

Section: Correlation Of Anthropometric Features With Peroneus Longus mentioning

confidence: 84%

“…Their research conflicted with Liu and Trung's study to a certain extent, since they stated that none of their patients complained of ankle joints instability after they utilized only the anterior half of the peroneus longus tendon 6,17 . Further research might be needed since the fundamental difference about them is how only half PLT grafts were used instead of full thickness PLT grafts 2,6,16,17 . Thus, it might be compulsory for patients who prefer to use this graft to undergo monitoring and rehabilitation in that period in order to reduce the morbidity.…”

Section: Correlation Of Anthropometric Features With Peroneus Longus mentioning

confidence: 84%

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Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction

2021

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Background: Reconstruction of the anterior cruciate ligament (ACL) is a commonly performed surgical procedure in recent years. Surgeons have to consider several factors including patient’s anthropometric variables to harvest the best graft. The hamstring tendon has its’ limitation, such as the tendon graft size deemed unfit especially for people of small statures. The peroneus longus tendon is a relatively new choice compared to hamstring. This study was conducted to know the correlation between anthropometric features with graft parameters or graft size in patients who underwent ACL reconstruction using peroneus longus and hamstring tendons.Materials and Methods: This cross-sectional study was performed in patients who underwent ACL reconstruction using peroneus longus or hamstring tendon autografts. We evaluated their anthropometric variables (age, gender, body mass index (BMI), height and weight) and correlated them with the graft diameter obtained during surgery. Post-operative results were assessed with Karlsson and Peterson Scoring System which represent the ankle function.Results: Twenty-three non-athletic patients underwent ACL reconstruction surgery. Patients with hamstring graft have the average height of 170 cm and 163.6 cm for the peroneal graft group. The average body weight of the hamstring graft group was 72.917 kg and the peroneal graft group was 68.82 kg. The measured BMI of the hamstring graft group was 25.2 kg/m2 and 7.833 mm of graft diameter in average, with 25.5 kg/m2 and 7.636 mm respectively for the peroneus graft group. There were strong positive correlations between weight and BMI with hamstring tendon graft diameter, but negative weak correlations with peroneus tendon graft diameter.Conclusion: We found that body weight and BMI correlate with the diameter of both peroneus and hamstring tendon grafts. Both autografts showed equally good functional results.

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Section: Correlation Of Anthropometric Features With Peroneus Longus mentioning

confidence: 84%

Section: Correlation Of Anthropometric Features With Peroneus Longus mentioning

confidence: 84%

Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction

2021

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“…The assessment on ankle plantar flexion and foot eversion muscle strengths showed normal function. A report on ACLR using anterior half PLT graft showed no complications in ankle and foot post-surgery [ 15 ]. Another study revealed enhancement on knee functionality based on the Lysholm and KT-3000 arthrometer scores, leaving no ankle functionality differences based on AOFAS score [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

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

Wiradiputra¹,

Febyan²,

Aryana

2021

International Journal of Surgery Case Reports

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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.

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“…Autologous peroneal longus tendon has recently been used as a graft to reconstruct injured ligaments [16][17][18] . In contrast with semitendinosus tendon and gracilis tendon, PLT is easier to be taken off for its super cial location and no ber connection with nearby tendons or deep fascia [18] .…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Donor Site Morbidity of Anterior Cruciate Ligament Reconstruction with Full Thickness Peroneus Longus Tendon

Ge¹,

Wang²,

Zhang³

et al. 2021

Preprint

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Backgroud: Anterior cruciate ligament (ACL) is an important anatomical structure for maintaining the stability and moveability of a knee joint. When the load exceeds its strength, ACL will be damaged or broken. The main therapy for a fractured ACL is the arthroscopic ligament reconstruction technique. Commonly used reconstruction materials are grouped into three categories: autologous tendons, allogeneic tendons and artificial materials. Peroneal longus tendon(PLT) is an autograft, its superficial location and easier access contribute to its increasing application as a new graft substitute in cruciate ligament reconstructions over recent years. Our research is aiming to investigate the functional recovery of the knee joint after anterior cruciate ligament transplantation with autologous peroneus longus tendon under arthroscopy and its influence on the ankle joint of the donor site.Methods: During the research period of our retrospective analysis from January 2015 to July 2019, the single-bundle double-stranded anatomical reconstruction technique was applied under arthroscopy on 32 patients with acute anterior cruciate ligament ruptures (consisting of 22 males and 10 females in the 16–45 (31.1 ± 8.6) age bracket, and among them, 18 cases suffered knee injury on the left limb and the other 14 on the right one) within three weeks of their injury, and the graft for the anterior cruciate ligament (fixed with an Endobutton plate on one end and a screw on the other) was the autologous peroneus longus tendon on the ipsilateral limb. The IKDC score, KOOS score and Lysholm score were used to evaluate the functionality of the affected knee joints and the AOFAS score that of the tendons and ankle joints.Results: All patients were followed up for 1 year (14.5 ± 1.6 months). One case developed postoperative knee joint infection but recovered soon following active treatments, and all the patients turned negative in the postoperative Lachman tests and pivot-shift tests. At the last follow-up, IKDC score, KOOS symptom score, KOOS pain score, KOOS functional life score, KOOS sports entertainment score, KOOS life quality score and Lysholm score were 82.1 ± 13.5, 90.8 ± 15.5, 90.4 ± 5.9, 97.8 ± 4.3, 73.7 ± 26, 83.9 ± 18.1 and 87.3 ± 12.0, respectively, showing marked improvements on and statistically significant differences (P < 0.05) from the preoperative figures. The AOFAS score of the affected ankle joints was 94.7 ± 10.8, signifying a good functional recovery. MRI observation one year later showed that the reconstructed ligament had extended continuously to the position satisfying the requirements of anatomical reduction, and the bone tunnels and tendons had healed well.Conclusion: Reconstruction of the anterior cruciate ligament with a single-bundle of double-stranded peroneus longus tendon can satisfactorily restore the function of an injured knee joint without a significant impact on the donor ankle joint.

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Preliminary Result of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Anterior Half of Peroneus Longus Tendon Autograft

Cited by 21 publications

References 8 publications

Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction

Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction

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

Clinical Outcomes and Donor Site Morbidity of Anterior Cruciate Ligament Reconstruction with Full Thickness Peroneus Longus Tendon

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