COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF ACL RECONSTRUCTION BY HAMSTRING VS PERONEUS LONGUS AUTOGRAFT

Introduction: Anterior cruciate ligament (ACL) reconstruction improves knee stability and function with many graft types, either autografts or allografts, which have already been studied extensively. Among these grafts, bone–patellar tendon–bone (BPTB) and four-strand hamstring autografts are the two most common autografts used for ACL reconstruction and each has its advantages and disadvantages. Orthopaedic surgeons are attempting to use peroneus longus tendon as a graft. Peroneus longus tendon autografts are commonly used in some orthopaedic procedures, including spring ligament reconstruction, deltoid ligament reconstruction and medial patellofemoral ligament reconstruction. The purpose of this study is to compare the functional outcome between the peroneus longus tendon and hamstring tendon in ACL Reconstruction.

Material And Methods: In our study we took 40 cases of ACL tear fulfilling inclusion and exclusion criteria. Patient selection was randomised, half of the patients were operated by Diagnostic Arthroscopy with ACL reconstruction using hamstring autograft and the other half by using peroneus longus autograft. Patients were in the age group of 19 to 54 years. The male/female ratio is 32 males and 8 females.

Results: Patient was followed at 6 weeks, 3 and 6-months post operatively for clinical and radiological evaluation and results at end of 6 months were calculated by using IKDC and Lysholm knee score. The functional and radiological outcome is similar in both groups

Conclusion: Anterior cruciate ligament reconstruction with peroneus longus autografts produces a functional score (IKDC, Lysholm) comparable to that of hamstring autografts at a 6-month follow-up.