مرکز منطقه ای اطلاع رساني علوم و فناوري - Anterior cruciate ligament reconstruction with the peroneus longus tendon

Latin Abstract :

Objectives: The aim of the study was to evaluate the re¬sults of anterior cruciate ligament (ACL) reconstruction using a peroneus longus tendon (PLT) autograft. Methods: The study included 29 patients (27 males, 2 females; mean age 30 years; range 21 to 39 years) who underwent ACL reconstruction using a PLT autograft and interference nail fixation. Fourteen patients (48.3%) also had partial meniscectomy during surgery. The results were assessed according to the Lysholm scores and the Interna¬tional Knee Documentation Committee (IKDC) scale at the end of at least five years of follow-up. Results: According to the IKDC scale, 17 patients (58.6%) were rated as normal or nearly normal, and 12 patients (41.4%) were rated as abnormal or severely abnormal. The mean Lysholm score was 83.7 (range 45 to 100), with excellent or good results in 23 patients (79.3%). Radio¬graphic examination showed mild (n=10) or moderate (n=1) degenerative changes in the knee joint. Compared with the normal side, no flexion or extension losses oc¬curred in the affected knees. Stability of the ACL was as¬sessed by the Lachman test, which showed normal find¬ings in 12 patients (41.4%), while nine patients had 1+, five patients had 2+, and three patients had 3+ anteropos- terior laxity. Pivot-shift test was negative in 13 patients (44.8%); ten patients had 1+ pivot glide, and six patients had 2+ pivot shift. Two patients (6.9%) complained of mild to moderate pressure pain, paresthesia and dyses¬thesia at the donor site of PLT. No patient experienced ankle joint dysfunction or difficulty in sports activities due to PLT graft transfer. conclusion: Our data show that PLT can be an appropri¬ate autograft source for ACL reconstruction, avoiding po¬tential complications of autografts obtained from the knee region.