Tensile strength comparison between hamstring tendon, patellar tendon, quadriceps tendon and peroneus longus tendon: A cadaver research

Phatama, Krisna Yuarno; Hidayat, Mohamad; Mustamsir, Edi; Pradana, Ananto Satya; Dhananjaya, Brian; Muhammad, Surya Iman

doi:10.1016/j.jajs.2019.02.003

Cited by 20 publications

(17 citation statements)

References 8 publications

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“…Previous biomechanical study that compared the tensile strength of peroneus longus tendon, hamstring tendon, patellar tendon, and quadriceps tendon showed that the tensile strength of peroneus longus was comparable to hamstring tendon, and was significantly stronger than patellar tendon and quadriceps tendon [ 21 ]. Some clinical study also showed good clinical result in the use of peroneus longus tendon in ACL reconstruction [ [6] , [7] , [8] ] while other author already used PLT in PCL reconstruction [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Setyawan¹,

Soekarno²,

Asikin³

et al. 2019

Annals of Medicine and Surgery

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Background Several study that evaluate the usage of peroneus longus tendon (PLT) autograft in Anterior Cruciate Ligament reconstruction shows good result. Regardless the potential, there was no study about the use of PLT autograft in Posterior Cruciate Ligament (PCL) reconstruction. The purpose of this study is to evaluate the functional outcome and donor site morbidity after single bundle PCL reconstruction using PLT autograft. Methods Patient who met inclusion criteria, enrolled to this study and underwent single bundle PCL reconstruction using PL tendon autograft. Clinical outcomes were assessed with International Knee Documentation Committee (IKDC), Modified Cincinnati scoring systems, Lysholm score, and Serial hop test (single hop test and triple hop test) 2-year after surgery. Donor site morbidity was assessed with Foot and Ankle Disability Index (FADI) and American Orthopaedic Foot and Ankle (AOFAS) scoring system. Results Fifteen patients fulfilled the inclusion criteria (11 males and 4 females). PLT graft diameters were 7.5–10 mm (mean: 8.30 ± 0.65 mm). Significant increase of functional score ( p < 0.05) were found two years after surgery. Mean score of IKDC was 47.58 ± 11.75 pre-operative; 78.17 ± 4.52 post-operative, Modified Cincinnati was 48.86 ± 12.22 pre-operative; 79.00 ± 4.82 post-operative, Lysholm score was 49.26 ± 11.54 pre-operative; 80.20 ± 5.04 post-operative. FADI and AOFAS at donor site ankle was 93.00 ± 3.04 and 93.26 ± 4.20, respectively. Serial hop test showed good result. Conclusion PCL reconstruction using peroneus longus tendon autograft shows good functional outcome of the knee based on IKDC, Modified Cincinnati, Lysholm score, with preservation of ankle function based on AOFAS and FADI score at 2-years follow-up.

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Section: Discussionmentioning

confidence: 99%

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Setyawan¹,

Soekarno²,

Asikin³

et al. 2019

Annals of Medicine and Surgery

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“…However, some disadvantages of peroneus longus usage are still debatable. A biomechanical study that explained tensile strength comparison between peroneus longus tendon, hamstring tendon, patellar tendon, and quadriceps tendon showed that the tensile strength of peroneus longus was comparable to hamstring tendon, and was significantly stronger than patellar tendon and quadriceps tendon [12].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome of Arthroscopic Posterior Cruciate Ligament Reconstruction with Adjustable-Loop Femoral Cortical Suspension Devices

Рhatomy¹,

Horas²,

Asikin³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND:Incidence of isolated posterior cruciate ligament (PCL) injury is lower than PCL rupture is associated with other knee injuries. Adjustable loop femoral cortical suspension device is commonly used for femoral graft fixation during PCL reconstruction.AIM:This study purpose is to describe the functional outcome of PCL reconstruction using an adjustable loop femoral cortical suspension device.METHODS:This study used prospective design with consecutive sampling. All patients underwent PCL reconstruction with adjustable loop femoral cortical suspension devices using peroneus longus tendon autograft. Patients were evaluated at 6 months after surgery using posterior drawer test and functional outcome scoring system (Lysholm knee score, Cincinnati Score and International Knee Documentation Committee (IKDC) score).RESULTS:20 patients were enrolled in this study with a mean age of 27.65 ± 9.78. Lysholm knee means the score was improved from 59.80 ± 18.73 pre-operative and 80.55 ± 11.72 post-operative (p < 0.05). Cincinnati mean score was improved from 52.01 ± 20.29 pre-operative to 72.95 ± 15.26 post-operative (p < 0.05). IKDC mean score was improved from 48.36 ± 13.18 at pre-operative to 72.5 ± 13.13 post-operative (p < 0.05).CONCLUSION:PCL reconstruction using adjustable loop femoral cortical suspension device using peroneus longus tendon autograft showed good clinical outcome and knee functional outcome (Lysholm, Cincinnati, and IKDC score) at 6 months follow-up.

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“…This problem encourages researchers to look for another alternative graft source, and the peroneus longus tendon has been investigated extensively for this purpose. Some studies discovered that the peroneus longus tendon has adequate tensile strength and minimal donor site morbidity to the knee biomechanics, including the patellofemoral joint [15], [16], [17], [18]. The proposed reason is that the peroneus longus tendon does not cross the knee joint so that its harvest does not affect patellofemoral alignment and biomechanics.…”

Section: Patellofemoralmentioning

confidence: 99%

Higher Rate of Patellofemoral Problems After Anterior Cruciate Ligament Reconstruction using Hamstring Autograft

Phatama

Darmawansa²,

Oktafandi³

et al. 2021

Open Access Maced J Med Sci

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Background: Patellofemoral problems are not uncommon among post-anterior cruciate ligament (ACL) reconstruction patients. Hamstring autograft harvesting-related factor is one of the suspected causes. A lack of tibiofemoral internal rotation force due to strength deficit causes the patella tends to shift laterally. Purposes: Peroneus longus tendon has been proposed as an alternative graft source due to its adequate tensile strength and minimal donor site morbidity to the knee biomechanics, including the patellofemoral joint. This tendon does not cross the knee joint and thus does not affect patellofemoral alignment and biomechanics. This study aims to compare patellofemoral problems between hamstring and peroneus longus autograft harvested-patients following ACL reconstruction. Material and methods: Thirty-one subjects who underwent primary single-bundle ACL reconstruction between September 2018 and September 2019 and met the inclusion criteria were grouped into the hamstring group (n=16) and peroneus longus group (n=15). Both groups were evaluated retrospectively. The follow-up assessment was conducted on the phase II rehabilitation program. The assessed variables were pain, crepitus, and the Indonesian-validated Kujala score. Results: No significant differences in pain and crepitus were found between both groups. There were significant differences in the Kujala score between both groups (P < .001). The peroneus longus group reported an averagely higher score than the hamstring group. Conclusion: Single bundle ACL reconstruction using peroneus longus tendon autograft produces less patellofemoral symptoms and functional limitation than using hamstring tendon autograft.

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Tensile strength comparison between hamstring tendon, patellar tendon, quadriceps tendon and peroneus longus tendon: A cadaver research

Cited by 20 publications

References 8 publications

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Clinical Outcome of Arthroscopic Posterior Cruciate Ligament Reconstruction with Adjustable-Loop Femoral Cortical Suspension Devices

Higher Rate of Patellofemoral Problems After Anterior Cruciate Ligament Reconstruction using Hamstring Autograft

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