scholarly journals Evaluation of Donor Ankle Stability, Function and Body Balance Following Anterior Cruciate Ligament Reconstruction with Peroneus Longus Tendon Graft -A Prospective Cohort Study

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Mamata Manjari Sahu ◽  
S Arul Pragassame ◽  
Patitapaban Mohanty ◽  
Pabitra Kumar Sahoo
Keyword(s):  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Tendon Graft ◽  
Stability Function ◽  
Peroneus Longus Tendon ◽  
Cruciate Ligament Reconstruction ◽  
Body Balance ◽  
Peroneus Longus ◽  
Ankle Stability ◽  
Anterior Cruciate

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 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 Anterior Half of the Peroneus Longus Tendon Combined with Semitendinosus and Gracilis Tendons for Anterior Cruciate Ligament Reconstruction: An Athlete Case Report

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Diego Escudeiro de Oliveira ◽  
Melanie Mayumi Horita ◽  
Marconde de Oliveira e Silva ◽  
Victor Eduardo Roman Salas ◽  
Pedro Baches Jorge
Keyword(s):  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Hamstring Tendon ◽  
Tendon Graft ◽  
Hamstring Tendon Graft ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Anterior Half ◽  
Anterior Cruciate

In clinical practice, it is observed that the hamstring tendon graft, despite being first choice in knee ligament reconstruction, may not present adequate size. Therefore, it becomes necessary to search for other graft alternatives. In this context, the peroneus longus tendon arises as an option to replace or complement other grafts. The surgeon can opt to use the tendon in its totality or only its anterior half, presenting adequate length, diameter, and biomechanics, without major repercussions for the donor site. In this study, we report a case of an athlete in which the autologous hamstring tendon graft did not present the adequate diameter for anterior cruciate ligament reconstruction. It was, then, necessary to use the anterior half of the peroneus longus tendon.

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