scholarly journals Does The Peroneus Longus Tendon Autograft Affect The Ankle Function? A Case Series

2020 ◽  
Vol 1 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Hilman Bimadi ◽  
Krisna Yuarno Phatama ◽  
Edi Mustamsir
Keyword(s):  
Functional Outcomes ◽  
Ligament Reconstruction ◽  
Donor Site ◽  
Case Series ◽  
Donor Site Morbidity ◽  
Full Thickness ◽  
Knee Ligament ◽  
Peroneus Longus ◽  
Knee Ligament Reconstruction ◽  
Tendon Autograft

Introduction: The peroneus longus (PL) tendon is one of the autograft choices for knee ligament injury because of its safety, length, and strength. However, studies that evaluated donor site morbidity after PL tendon graft are still limited. This case series aims to evaluate the functional outcomes of donor site morbidity after full-thickness PL tendon harvesting for knee ligament reconstruction.Presentation of Case:This study evaluated four patients who had a revision of knee ligament reconstruction surgery using PL tendon autograft from August until September 2018. The functional outcome of the donor site was evaluated before surgery, two weeks, and three months after surgery by using functional scores assessment of foot and ankle.Discussion:There are some donor sites of autograft, but several studies show that the PL tendon autograft has proven to be more favorable methods for knee ligament reconstruction based on the accessibility, safety, and strength of the harvested tendon. The studies also found that using PL tendon as an autograft, has a good result in donor site morbidity evaluation compared to others. This study provides a satisfying result on the functional outcome of the donor site morbidity evaluation.Conclusion:This study showed satisfactory functional outcomes of the foot and ankle after harvesting full-thickness PL tendon. All functional score assessment provides an excellent result in three months after surgery, although lateral ankle bulging has occurred in all patients. However, gait analysis and isokinetic test with a more significant number of patients and longer follow up periods are necessary for further study.

Quadriceps tendon autograft for arthroscopic knee ligament reconstruction: use it now, use it often

2018 ◽  
Vol 52 (11) ◽  
pp. 698-701 ◽  
Author(s):  
Andrew J Sheean ◽  
Volker Musahl ◽  
Harris S Slone ◽  
John W Xerogeanes ◽  
Danko Milinkovic ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Ligament Reconstruction ◽  
Donor Site ◽  
Quadriceps Tendon ◽  
Hamstring Tendon ◽  
Knee Ligament ◽  
Knee Ligament Reconstruction ◽  
Arthroscopic Knee ◽  
Tendon Autograft ◽  
Bone Patellar Tendon

Traditional bone-patellar tendon-bone and hamstring tendon ACL grafts are not without limitations. A growing body of anatomic, biomechanical and clinical data has demonstrated the utility of quadriceps tendon autograft in arthroscopic knee ligament reconstruction. The quadriceps tendon autograft provides a robust volume of tissue that can be reliably harvested, mitigating the likelihood of variably sized grafts and obviating the necessity of allograft augmentation. Modern, minimally invasive harvest techniques offer the advantages of low rates of donor site morbidity and residual extensor mechanism strength deficits. New data suggest that quadriceps tendon autograft may possess superior biomechanical characteristics when compared with bone-patella tendon-bone (BPTB) autograft. However, there have been very few direct, prospective comparisons between the clinical outcomes associated with quadriceps tendon autograft and other autograft options (eg, hamstring tendon and bone-patellar tendon-bone). Nevertheless, quadriceps tendon autograft should be one of the primary options in any knee surgeon’s armamentarium.

scholarly journals Evaluation of results of anterior cruciate ligament reconstruction using peroneus longus graft

2021 ◽  
Vol 7 (3) ◽  
pp. 594
Author(s):  
Kautilyakumar V. Mahida ◽  
Jyotish G. Patel ◽  
Hiren K. Shah ◽  
Ankit R. Patel
Keyword(s):  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Knee Score ◽  
Cruciate Ligament Reconstruction ◽  
Peroneus Longus ◽  
Lysholm Knee Score ◽  
Anterior Cruciate ◽  
Graft Diameter

<p class="abstract"><strong>Background: </strong>The objective of the study was to assess clinical outcome and donor site morbidity of ACL reconstruction with peroneus longus tendon autografts in patients with ACL injury.</p><p class="abstract"><strong>Methods:</strong> 60 Patients who underwent ACL reconstruction using peroneus longus autograft after fulfilling inclusion criteria and obtaining informed consent were assessed preoperatively and postoperatively and followed up for 1 year. Graft diameter was measured intraoperatively. Functional score of knee (Tegner and Lysholm Knee score) and American Orthopedic Foot and Ankle Score (AOFAS) for donor site morbidity were recorded preoperatively and 1 year after surgery.</p><p class="abstract"><strong>Results: </strong>93.3% Patients (56 out of 60) had good to excellent Lysholm knee score 1 year postoperatively and the mean AOFAS score was 96.7. The average peroneus longus graft diameter 8 .7mm.</p><p class="abstract"><strong>Conclusions: </strong>Anterior cruciate ligament reconstruction with peroneus longus autografts produces a good functional outcome at 1  year follow-up, with the advantages of large graft diameter and excellent ankle function based on AOFAS score.res.</p>

scholarly journals Reconstruction of full thickness wounds using glyaderm in a single-staged procedure

2021 ◽  
Author(s):  
Melissa de Henau ◽  
Anne Sophie Kruit ◽  
Dietmar J. O. Ulrich
Keyword(s):  
Donor Site ◽  
Case Series ◽  
Skin Surface ◽  
Donor Site Morbidity ◽  
Dermal Substitute ◽  
Skin Grafts ◽  
Full Thickness ◽  
Graft Take ◽  
Aesthetic Appearance ◽  
Thickness Skin

Abstract Introduction In large full-thickness skin defects, donor site morbidity limits the available thickness and surface of skin autografts and therefore only split-thickness skin grafts are possible for reconstruction. Dermal equivalents can be added to these split-thickness grafts to acquire an anatomically better skin reconstruction. Glyaderm is a human derived, acellular dermis and up until now has only been used in a two-staged procedure. This report describes results of a case series using Glyaderm and split-thickness skin grafts in a single-staged procedure. Methods Glyaderm was introduced in 2017 in Radboudumc (Nijmegen, The Netherlands). Glyaderm and autologous split-skin grafts were simultaneously applied to the wounds. In cases with large wound surfaces or wounds covering highly mobile areas, negative pressure wound therapy was additionally applied. The first ten cases were followed with regular intervals post-operatively, assessing graft take, scar appearance, post-operative wound problems and re-interventions. Results Patients were aged 3 weeks to 76 years-old. Treated skin surface varied from 1–16% total body surface. Wounds resulted from trauma (n = 4), burns (n = 4) or soft tissue infections (n = 2). Follow-up varied from 4 months to 1.5 years. No complications occurred after surgery. Average take rate was 98%. Two patients had a later re-intervention to further improve the aesthetic appearance of the scarred area. Conclusion Our first results with the application of Glyaderm in a single-staged procedure provided good healing, graft take and scar appearance. Glyaderm was found a suitable dermal substitute in the treatment of full thickness wounds.

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