scholarly journals Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction

Medicine ◽  
2018 ◽  
Vol 97 (44) ◽  
pp. e12672 ◽  
Author(s):  
Xiaoxiao Song ◽  
Qiangqiang Li ◽  
Zongfang Wu ◽  
Qian Xu ◽  
Dongyang Chen ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Peroneus Longus Tendon ◽  
Cruciate Ligament Reconstruction ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Anterior Cruciate ◽  
Graft Diameter

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

2019 ◽  
Vol 7 (24) ◽  
pp. 4351-4356
Author(s):  
Dung Tran Trung ◽  
Son Le Manh ◽  
Luan Nguyen Thanh ◽  
Thien Chu Dinh ◽  
Toi Chu Dinh
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Peroneus Longus Tendon ◽  
Cruciate Ligament Reconstruction ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Anterior Half ◽  
Anterior Cruciate

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.

scholarly journals Influence of graft diameter on patient reported outcomes after hamstring autograft anterior cruciate ligament reconstruction

2019 ◽  
Author(s):  
Robert A. Duerr ◽  
Kirsten D. Garvey ◽  
Jakob Ackermann ◽  
Elizabeth G. Matzkin
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Hamstring Autograft ◽  
Cruciate Ligament Reconstruction ◽  
Point Increase ◽  
Patient Reported ◽  
Anterior Cruciate ◽  
Graft Diameter

Several studies have identified graft diameter as a risk factor for failure following anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to evaluate the effect of graft diameter on patient reported outcome measures (PROMS) following ACLR. We performed a retrospective review of prospectively collected data using a global surgical registry. 153 of 287 patients (53.3%) had complete data for each timepoint. Effect of graft diameter, graft type, femoral tunnel drilling technique, patient age, sex, and body mass index were evaluated. At 1-year post-operatively, a 1-mm increase in graft diameter was found to correlate with a 5.7-point increase in the Knee Injury and Osteoarthritis Outcome Score (KOOS) activity of daily living score (p = 0.01), a 10.3-point increase in the sport score (p=0.003), and a 9.8-point increase in the quality of life score (p=0.013). At 2-years post-operatively, a 1-mm increase in graft size was found to be marginally correlated with KOOS symptoms and sport scores. Patients undergoing hamstring autograft ACLR, increasing graft diameter can result in improved PROMS, specifically improved KOOS subscale scores at 1 and 2-years post-operative.

Insufficient evidence to support peroneus longus tendon over other autografts for primary anterior cruciate ligament reconstruction: a systematic review

2020 ◽  
pp. jisakos-2020-000501
Author(s):  
Theodorakys Marín Fermín ◽  
Jean Michel Hovsepian ◽  
Panagiotis D Symeonidis ◽  
Ioannis Terzidis ◽  
Emmanouil Theodorus Papakostas
Keyword(s):  
Anterior Cruciate Ligament ◽  
Methodological Quality ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Peroneus Longus Tendon ◽  
Cruciate Ligament Reconstruction ◽  
Peroneus Longus ◽  
Graft Donor ◽  
Anterior Cruciate ◽  
Preparation Techniques

ImportanceGraft choice for anterior cruciate ligament reconstruction (ACLR) remains a subject of interest among orthopaedic surgeons because no ideal graft has yet been found. Peroneus longus tendon (PLT) has emerged as an alternative autograft for reconstruction in kneeling populations and in simultaneous anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries.ObjectiveTo evaluate the current evidence on the outcome of primary ACLR with PLT autograft in adults and donor ankle morbidity, in addition to determining the average PLT graft dimensions from published studies.Evidence reviewTwo independent reviewers searched PubMed, CENTRAL, EMBASE, Scopus and Virtual Health Library databases using the terms “anterior cruciate ligament,” “peroneus longus” and “fibularis longus” alone and in combination with Boolean operators AND/OR. Studies evaluating clinical and stability outcomes, graft-donor ankle morbidity and graft dimensions of PLT in ACLR were included. Methodological quality was assessed using the Modified Coleman Methodology Score (mCMS). A narrative analysis is presented using frequency-weighted means wherever feasible. Publication bias was assessed using the ROBIS tool.FindingsTwelve articles with intermediate-level methodological quality were included. Eight studies assessing the clinical and stability outcomes of reconstruction with PLT showed satisfactory outcomes, similar to those of hamstring tendons (HT). No studies assessed anterior knee pain as an outcome. Six studies evaluated the graft-donor ankle morbidity using general functional foot and ankle scores and non-validated tools, showing favourable outcomes. Nine studies assessed PLT graft diameter, revealing grafts consistently larger than 7 mm among the different preparation techniques, which is comparable with reports of HT grafts.Conclusions and relevanceThe clinical and stability outcomes of ACLR with different PLT autograft preparation techniques are comparable with those of HT during short-term follow-up; however, there is insufficient evidence to support its use in the populations that motivated its implementation. Thus, stronger evidence obtained with the use of validated tools reporting negligible donor-graft ankle morbidity after PLT harvesting is required prior to recommending its routine use, despite the consistency of its dimensions.Level of evidenceLevel III.

scholarly journals Comparison of clinical outcomes after anterior cruciate ligament reconstruction with autogenous hamstring tendons and peroneus longus allograft

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0004
Author(s):  
Rodi Ertoğrul ◽  
Hasan Basri Sezer ◽  
Raffi Armağan ◽  
Muharrem Kanar ◽  
Osman Tugrul Eren
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Cruciate Ligament Reconstruction ◽  
Peroneus Longus ◽  
The Mean ◽  
Anterior Cruciate ◽  
Autograft Group

In this study we reported the early clinical and functional results of 40 patients admitted to our hospital for anterior cruciate ligament reconstruction (20 with autogenous hamstring tendon graft and 20 with peroneus longus allograft)retrospectively between august 2012 and september 2014. All patients in the autograft group were male and only three patients in the allograft group were female. The mean age in the autograft group was 29,60±4,55 and 34,25±6,73 in the allograft group. The mean time period before the surgery was 10,35(1-84) months and the mean postoperative follow up time was 33,8(12-46) months. Only 2 patients in the autograft group and 4 patients in the allograft group were injured by direct trauma. We noted the patients’ occupation, activity level and sport activities. Joint effusion, pain and restriction in the joint motion were documented. Patients were evaluated with Lachman, anterior drawer and pivot shift tests at the last follow up examination. The joint instability was tested with KT 1000 and the muscle contractions were tested with Cybex devices. Modified Cincinnati, Lysholm and IKDC activity scale were used to evaluate the activity level of patients. There were no difference neither clinically, nor functionally between two groups at the last follow up (p>0,05).Taken into consideration the risks and advantages of autogenous hamstring graft and allograft use we conclude that the peroneus longus allograft is a reasonable option for anterior cruciate ligament reconstruction.

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