Comparative Analysis of Functional Outcomes and Donor Site Morbidity in ACL Reconstruction: Peroneus Longus Tendon versus Hamstring Tendon Autografts
Creators
- 1. Assistant Professor, Department of Orthopaedic, Shri Bhausaheb Hire Government Medical College Dhule, Maharashtra
- 2. Associate Professor, Department of Orthopaedic, Shri Bhausaheb Hire Government Medical College Dhule, Maharashtra
- 3. Professor & Head, Department of Orthopaedic, Shri Bhausaheb Hire Government Medical College Dhule, Maharashtra
Description
Introduction: Anterior cruciate ligament (ACL) reconstruction commonly employs hamstring tendon autografts, but alternative sources like the peroneus longus tendon have gained attention. This study aimed to compare functional outcomes and donor site morbidity between peroneus longus and hamstring autografts for ACL reconstruction. Methodology: Forty patients underwent ACL reconstruction using peroneus longus tendon autografts, while another 40 received hamstring tendon autografts. Preoperative, postoperative, and follow-up assessments included International Knee Documentation Committee (IKDC) and Lysholm scores, graft diameter measurements, knee stability evaluations, and ankle range of motion assessments. Results: Functional scores (IKDC and Lysholm) showed substantial improvements postoperatively in both groups, with no significant differences between preoperative scores. Graft diameter differed significantly, with the peroneus longus tendon exhibiting a larger diameter. Knee stability, laxity, and ankle range of motion demonstrated no significant differences between the two groups. Conclusion: Despite variations in graft diameter, both peroneus longus and hamstring tendon autografts yielded comparable functional outcomes and knee stability post-ACL reconstruction. Ankle range of motion remained unaffected following peroneus longus tendon harvesting. These findings suggest the viability of peroneus longus tendon as an alternative autograft choice for ACL reconstruction.
Abstract (English)
Introduction: Anterior cruciate ligament (ACL) reconstruction commonly employs hamstring tendon autografts, but alternative sources like the peroneus longus tendon have gained attention. This study aimed to compare functional outcomes and donor site morbidity between peroneus longus and hamstring autografts for ACL reconstruction. Methodology: Forty patients underwent ACL reconstruction using peroneus longus tendon autografts, while another 40 received hamstring tendon autografts. Preoperative, postoperative, and follow-up assessments included International Knee Documentation Committee (IKDC) and Lysholm scores, graft diameter measurements, knee stability evaluations, and ankle range of motion assessments. Results: Functional scores (IKDC and Lysholm) showed substantial improvements postoperatively in both groups, with no significant differences between preoperative scores. Graft diameter differed significantly, with the peroneus longus tendon exhibiting a larger diameter. Knee stability, laxity, and ankle range of motion demonstrated no significant differences between the two groups. Conclusion: Despite variations in graft diameter, both peroneus longus and hamstring tendon autografts yielded comparable functional outcomes and knee stability post-ACL reconstruction. Ankle range of motion remained unaffected following peroneus longus tendon harvesting. These findings suggest the viability of peroneus longus tendon as an alternative autograft choice for ACL reconstruction.
Files
IJPCR,Vol16,Issue1,Article73.pdf
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(337.1 kB)
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Additional details
Dates
- Accepted
-
2023-12-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article73.pdf
- Development Status
- Active
References
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