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Acharya, Kiran, Mody, Aashay, Madi, Sandesh. (1402). Functional Outcomes of Anatomic Single Bundle Primary ACL Reconstruction with Peroneus Longus Tendon (Without a Peroneal Tenodesis) Versus Hamstring Autografts. , 12(2), 116-122. doi: 10.22038/abjs.2024.73473.3404
Kiran Acharya; Aashay Mody; Sandesh Madi. "Functional Outcomes of Anatomic Single Bundle Primary ACL Reconstruction with Peroneus Longus Tendon (Without a Peroneal Tenodesis) Versus Hamstring Autografts". , 12, 2, 1402, 116-122. doi: 10.22038/abjs.2024.73473.3404
Acharya, Kiran, Mody, Aashay, Madi, Sandesh. (1402). 'Functional Outcomes of Anatomic Single Bundle Primary ACL Reconstruction with Peroneus Longus Tendon (Without a Peroneal Tenodesis) Versus Hamstring Autografts', , 12(2), pp. 116-122. doi: 10.22038/abjs.2024.73473.3404
Acharya, Kiran, Mody, Aashay, Madi, Sandesh. Functional Outcomes of Anatomic Single Bundle Primary ACL Reconstruction with Peroneus Longus Tendon (Without a Peroneal Tenodesis) Versus Hamstring Autografts. , 1402; 12(2): 116-122. doi: 10.22038/abjs.2024.73473.3404

Functional Outcomes of Anatomic Single Bundle Primary ACL Reconstruction with Peroneus Longus Tendon (Without a Peroneal Tenodesis) Versus Hamstring Autografts

The Archives of Bone and Joint Surgery
مقاله 5، دوره 12، شماره 2، اردیبهشت 2024، صفحه 116-122    اصل مقاله (901.51 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.73473.3404
نویسندگان
Kiran Acharya؛ Aashay Mody؛ Sandesh Madi*
Department of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India
چکیده
Objectives: There is a paucity of comparative studies on the Peroneus longus tendon versus 
conventional hamstring autograft use in primary single-bundle ACL reconstruction. To date, there are 
no studies that reported donor ankle functional outcomes when a peroneus lon gus graft is harvested 
without performing a tenodesis to peroneus brevis.
Methods: A single-center retrospective comparative study was undertaken to evaluate the functional outcomes 
(IKDC & Tegner-Lysholm scores) of primary isolated single bundle anatomic ACL Reconstruction with Peroneus 
Longus tendon (PL group) versus Hamstring (HT group) autografts. Further, an evaluation of donor ankle morbidity 
using the AOFAS score for the PL group and persistent anteromedial thigh pain and paraesthesia around the knee
for the HT group was also performed.
Results: 30 patients were evaluated in each group. The mean graft diameter was 8.61 +/- 0.66mm (HT) & 9.6 +/-
0.84mm (PL) and the mean graft length was 7.39cm (HT) & 7.86cm (PL) respectively. The mean IKDC scores were 
58.2 (Pre-op) & 89.52 (1 year) for the HT group and 61.8 (Pre-op) & 90.9 (1 year) for the PL group respectively. The 
mean Tegner-Lysholm scores were 69.83 (Pre-op) & 91.96 (1 year) for the HT group and 70.66 (Pre-op) & 92.36 (1 
year) for the PL group respectively.10% of the HT group had residual anteromedial thigh pain & 6.7% had 
paraesthesia at one-year follow-up. In the PL group, the mean AOFAS score was 96.37 +/- 2.49 at the end of one 
year. Two cases (6.66%) reported paraesthesia around the harvested site.
Conclusion: Peroneus longus tendon appears to be a better autograft choice than hamstrings for primary ACL 
reconstruction. Further, without a peroneal tenodesis, the functional outcomes of the donor ankle remained 
excellent.
 Level of evidence: III
کلیدواژه‌ها
ACL reconstruction؛ Ankle؛ Hamstring؛ Peroneus longus tendon؛ Tenodesis
مراجع
  1. Tuca M, Valderrama I, Eriksson K, Tapasvi S. Current trends in anterior cruciate ligament surgery. A worldwide benchmark study. J ISAKOS. 2023; 8(1):2-10. doi:10.1016/j.jisako.2022.08.009.
  2. Angthong C, Chernchujit B, Apivatgaroon A, Chaijenkit K, Nualon P, Suchao-in K. The Anterior Cruciate Ligament Reconstruction with the Peroneus Longus Tendon: A Biomechanical and Clinical Evaluation of the Donor Ankle Morbidity. J Med Assoc Thai. 2015; 98(6):555-60.
  3. Shao X, Shi LL, Bluman EM, et al. Satisfactory functional and MRI outcomes at the foot and ankle following harvesting of full thickness peroneus longus tendon graft. Bone Joint J. 2020; 102(2):205-211. doi:10.1302/0301-620X.102B2.
  4. Kumar R, Singh B, Gautam A. Single bundle ACL Reconstruction with Peroneus Longus Tendon Autograft: A short-term study. Eur J Mol Clin Med. 2020; 7(11):5460-5466.
  5. Rhatomy S, Wicaksono FH, Soekarno NR, Setyawan R, Primasara S, Budhiparama NC. Eversion and First Ray Plantarflexion Muscle Strength in Anterior Cruciate Ligament Reconstruction Using a Peroneus Longus Tendon Graft. Orthop J Sports Med. 2019; 7(9). doi:10.1177/2325967119872462.
  6. Budhiparama NC, Rhatomy S, Phatama KY, Chandra W, Santoso A, Lumban-Gaol I. Peroneus Longus Tendon Autograft: A Promising Graft for ACL Reconstruction. Video Journal of Sports Medicine. 2021; 1(4):1-3. doi:10.1177/26350254211009888.
  7. Rhatomy S, Hartoko L, Setyawan R, et al. Single bundle ACL reconstruction with peroneus longus tendon graft: 2-years follow-up. J Clin Orthop Trauma. 2020; 11:S332-S336. doi:10.1016/j.jcot.2019.09.004.
  8. Rhatomy S, Asikin AIZ, Wardani AE, Rukmoyo T, Lumban-Gaol I, Budhiparama NC. Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2019; 27(11):3552-3559. doi:10.1007/s00167-019-05455-w.
  9. Shah K, Sharma D, Agarwal A, Shah R, Shah H. Peroneus longus: Most promising autograft for arthroscopic ACL reconstruction. Indian Journal of Orthopaedics Surgery. 2019; 5(3):172-175. doi:10.18231/j.ijos.2019.033.
  10. Barzegar M, Hosseini A, Karimi M, Nazem K. Can we use peroneus longus in addition to hamstring tendons for anterior cruciate ligament reconstruction? Adv Biomed Res. 2014; 3(1):115. doi:10.4103/2277-9175.132696.
  11. Goyal T, Paul S, Choudhury AK, Sethy SS. Full-thickness peroneus longus tendon autograft for anterior cruciate reconstruction in multi-ligament injury and revision cases: outcomes and donor site morbidity. Eur J Orthop Surg Traumatol. 2023; 33(1):21-27. doi:10.1007/s00590-021-03145-3.
  12. Shi FD, Hess DE, Zuo JZ, et al. Peroneus Longus Tendon Autograft is a Safe and Effective Alternative for Anterior Cruciate Ligament Reconstruction. J Knee Surg. 2019; 32(8):804-811. doi:10.1055/s-0038-1669951.
  13. Liu CT, Lu YC, Huang CH. Half-peroneus-longus-tendon graft augmentation for unqualified hamstring tendon graft of anterior cruciate ligament reconstruction. J Orthop Sci. 2015; 20(5):854-860. doi:10.1007/s00776-015-0744-2.
  14. Trung DT, Le Manh S, Thanh LN, Dinh TC, Dinh TC. Preliminary result of arthroscopic anterior cruciate ligament reconstruction using anterior half of peroneus longus tendon autograft. Open Access Maced J Med Sci. 2019;7(24):4351-4356. doi:10.3889/oamjms.2019.390.
  15. Bi M, Zhao C, Zhang Q, et al. All-Inside Anterior Cruciate Ligament Reconstruction Using an Anterior Half of the Peroneus Longus Tendon Autograft. Orthop J Sports Med. 2021; 9(6). doi:10.1177/2325967121991226.
  16. Butt UM, Khan ZA, Amin A, Shah IA, Iqbal J, Khan Z. Peroneus Longus Tendon Harvesting for Anterior Cruciate Ligament Reconstruction. JBJS Essent Surg Tech. 2022; 12(2):e20.00053. doi:10.2106/jbjs.st.20.00053.
  17. Arora M, Shukla T. Peroneus Longus Graft Harvest: A Technique Note. Indian J Orthop. 2023; 57(4):611-616. doi:10.1007/s43465-023-00847-0.
  18. Vijay C, Santosh MS, Avinash C, Adarsh T. Is Peroneus longus autograft a better alternative to the Hamstring autograft for anterior cruciate ligament reconstruction? – A randomised control study. Journal of Orthopaedics, Trauma and Rehabilitation. 2022; 29(1). doi:10.1177/22104917221088335.
  19. Keyhani S, Qoreishi M, Mousavi M, Ronaghi H, Soleymanha M. Peroneus Longus Tendon Autograft versus Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction: A Comparative Study with a Mean Follow-up of Two Years. Arch Bone Jt Surg. 2022; 10(8):695-701. doi:10.22038/ABJS.2022.59568.2938.
  20. Agarwal A, Singh S, Singh A, Tewari P. Comparison of Functional Outcomes of an Anterior Cruciate Ligament (ACL) Reconstruction Using a Peroneus Longus Graft as an Alternative to the Hamstring Tendon Graft. Cureus. 2023; 15(4):1-9. doi:10.7759/cureus.37273.
  21. Agrawal S, Hegde AS, Rao BS, et al. Peroneus Longus Tendon Autograft for Primary Arthroscopic Reconstruction of the Anterior Cruciate Ligament. Muscles Ligaments Tendons J. 2023; 13(02):252. doi:10.32098/mltj.02.2023.08.
  22. Ceccarelli F, Calderazzi F, Pedrazzi G. Is There a Relation between AOFAS Ankle-Hindfoot Score and SF-36 in Evaluation of Achilles Ruptures Treated by Percutaneous Technique? J Foot Ankle Surg. 2014; 53(1):16-21. doi:10.1053/j.jfas.2013.09.005.
  23. Hardy A, Casabianca L, Andrieu K, Baverel L, Noailles T. Complications following harvesting of patellar tendon or hamstring tendon grafts for anterior cruciate ligament reconstruction: Systematic review of literature. Orthop Traumatol Surg Res. 2017; 103(8):S245-S248. doi:10.1016/j.otsr.2017.09.002.
  24. Pereira BS, Pereira H, Robles RV, et al. The distance from the peroneal tendons sheath to the sural nerve at the posterior tip of the fibula decreases from proximal to distal. Knee Surg Sports Traumatol Arthrosc. 2019; 27(9):2852-2857. doi:10.1007/s00167-019-05438-x.
  25. Wu S, Rothrauff B, Li J, He J. Minimizing risk of iatrogenic nerve injury during peroneus longus tendon autograft
 

Harvest: a cadaveric study at different ankle or knee positions. Knee Surg Sports Traumatol Arthrosc. 2023; 31(6):2454-2460. doi:10.1007/s00167-022-07202-0.

  1. Rajani AM, Shah UA, Mittal AR, Rajani A, Punamiya M, Singhal R. Functional and clinical outcome of anterior cruciate ligament reconstruction with peroneus longus autograft and correlation with MRI after 3 years. J Orthop. 2022; 34:215-220. doi:10.1016/j.jor.2022.08.027.
  2. Burks RT, Crim J, Fink BP, Boylan DN, Greis PE. The effects of semitendinosus and gracilis harvest in anterior cruciate ligament reconstruction. Arthroscopy. 2005; 21(10):1177-1185. doi:10.1016/j.arthro.2005.07.005.
  3. Nomura Y, Kuramochi R, Fukubayashi T. Evaluation of hamstring muscle strength and morphology after anterior cruciate ligament reconstruction. Scand J Med Sci Sports. 2015; 25(3):301-307. doi:10.1111/sms.12205.
  4. Otis JC, Deland JT, Lee S, Gordon J. Peroneus Brevis Is a More Effective Evertor than Peroneus Longus. Foot Ankle Int. 2004; 25(4):242-246. doi:10.1177/107110070402500408.
  5. He J, Tang Q, Ernst S, et al. Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2021; 29(9):2869-2879. doi:10.1007/s00167-020-06279-9.
 

 

 

 

 

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