Single bundle ACL reconstruction with peroneus longus tendon graft: 2-years follow-up

Рhatomy, Сholahuddin; Hartoko, Leonardus; Setyawan, Riky; Soekarno, Noha Roshadiansyah; Asikin, Asa Ibrahim Zainal; Pridianto, Dodi; Mustamsir, Edi

doi:10.1016/j.jcot.2019.09.004

Cited by 34 publications

(40 citation statements)

References 16 publications

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“…At present, the preferred therapy for ACL ruptures is surgical reconstruction to restore the knee stability and reduce the risk of secondary meniscal tears and symptomatic osteoarthritis [7,8] , and the commonly used cruciate ligament reconstruction materials include autologous tendons, allogeneic tendons and arti cial materials. In particular, autogenous tendons are widely used in the reconstruction therapy in that they not only meet the functional requirements more satisfactorily but also avoids the possible rejection of allogeneic tendons [9] . Autologous hamstring tendon, bone-patellar tendon-bone, quadriceps tendon, etc.…”

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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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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“…The function of the donor site was excellent after harvesting PL tendon according to functional ankle test based on FADI and AOFAS score. This probably because while the PL was harvested, the PB is still intact, where the previous studies mentioned PB to be more effective evertor of the ankle and will maintain ankle eversion function after the harvest of PL tendon [12][13][14][15] . Moreover, the anterior half of the peroneus longus tendon (AHPLT) was also reported to be an acceptable alternative for autograft use concerning its strength, safety, and donor site morbidity 12,16 .…”

Section: Discussionmentioning

confidence: 99%

Does The Peroneus Longus Tendon Autograft Affect The Ankle Function? A Case Series

2020

Self Cite

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Introduction: The peroneus longus (PL) tendon is one of the autograft choices for knee ligament injury because of its safety, length, and strength. However, studies that evaluated donor site morbidity after PL tendon graft are still limited. This case series aims to evaluate the functional outcomes of donor site morbidity after full-thickness PL tendon harvesting for knee ligament reconstruction.Presentation of Case:This study evaluated four patients who had a revision of knee ligament reconstruction surgery using PL tendon autograft from August until September 2018. The functional outcome of the donor site was evaluated before surgery, two weeks, and three months after surgery by using functional scores assessment of foot and ankle.Discussion:There are some donor sites of autograft, but several studies show that the PL tendon autograft has proven to be more favorable methods for knee ligament reconstruction based on the accessibility, safety, and strength of the harvested tendon. The studies also found that using PL tendon as an autograft, has a good result in donor site morbidity evaluation compared to others. This study provides a satisfying result on the functional outcome of the donor site morbidity evaluation.Conclusion:This study showed satisfactory functional outcomes of the foot and ankle after harvesting full-thickness PL tendon. All functional score assessment provides an excellent result in three months after surgery, although lateral ankle bulging has occurred in all patients. However, gait analysis and isokinetic test with a more significant number of patients and longer follow up periods are necessary for further study.

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“…Sholahuddin Rhatomy et al, (2019) [17] conducted a research on patients who suffered isolated ACL injury were enrolled and underwent isolated single bundle ACL reconstruction using peroneus longus autograft at pre-operative and 2years after surgery. Graft diameter was measured intraoperative.…”

Section: Chayaninmentioning

confidence: 99%

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

Trung

Manh

Thanh

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Anthroscopic anterior cruciate ligament reconstruction is one of the most successful operations in sports medicine. At present, ligament autografts have been the best method due to good histocompatibility, rapid healing, no cross-contamination, and low cost of treatment. However, autografts do not have infinite amount and are also not always feasible. Anterior half of peroneus longus tenden autograft is likely to become a source of autograft with many advantages. This study aims to evaluate the clinical outcomes of anthroscopic anterior cruciate ligament reconstruction using anterior half of peroneus longus tendon autograft (AHPLT). AIM: To evaluate the initial outcome of ACL reconstruction arthroscopy by anterior half of peroneus longus tendon. METHODS: This is a prospective non-controlled case series. RESULTS: A prospective study on 30 patients (from 9 / 2016 to 01 / 2019) had both ACL and MCL injury who had operated ACL reconstruction using anterior half of peroneus longus tendon autograft (AHPLT) at Department of General Orthopaedic and Trauma, Viet Duc hospital. Our outcome: the year average 35.4 ys, the rate of ACL rupture combined with meniscus injury was 40%. The average diameter AHPLT autograft is 7.0 mm. The function Lysholm scores improved from 59 to 94.27 postoperative 6 months. No difference beetwen the AOFAS scale of preoperative and postoperative. CONCLUSION: Peroneus longus tendon is recommended to be a safe and practical autograft resource for anthroscopic anterior cruciate ligament reconstruction.

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Single bundle ACL reconstruction with peroneus longus tendon graft: 2-years follow-up

Cited by 34 publications

References 16 publications

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

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

Does The Peroneus Longus Tendon Autograft Affect The Ankle Function? A Case Series

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

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