FUNCTIONAL OUTCOMES OF PERONEUS LONGUS TENDON AUTOGRAFT ARTHROSCOPIC RESTORATION OF AN ANTERIOR CRUCIATE LIGAMENT TEAR

MA RAZZAQUE; MI HAIDER; M ZAHID; MU REHMAN

doi:10.54112/bcsrj.v2022i1.142

Authors

MA RAZZAQUE Department of Orthopedics, Bakhtawar Amin Trust Hospital Multan, Pakistan
MI HAIDER Department of Orthopedics,Nishtar Medical University & Hospital Multan, Pakistan
M ZAHID Department of Orthopedics, Nawaz Sharif Medical College Gujrat, Pakistan
MU REHMAN Department of Orthopedics, Bakhtawar Amin Trust Hospital Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2022i1.142

Keywords:

Anterior cruciate ligament, Peroneus longus tendon autograft, Ankle movement

Abstract

The study was conducted to assess the functional outcome of arthroscopic reconstruction of anterior cruciate ligament tear by using peroneus longus tendon autograft. A prospective study was conducted in the Orthopaedics Department of Bakhtawar Amin Memorial Trust, Multan from 22 June 2021-22 June 2022. A total of 24 patients from the out-patient department were included in the study. Patients were clinically examined, and MRI was performed to confirm the presence of tear. Arthroscopic reconstruction was done. IKDC was used to assess the final outcome after 6 months, MRC was used to evaluate ankle stability with normal side as control. IKDC was normal in 22 patients (91.6%) and abnormal in only 2 patients (20%). The average IKDC score was 82.44. Lachman test showed normal results in 17 (70.8%)patients, 1+ laxity in 4 (16.6%), 2+laxity in (8.3%) and 3+laxity in 1 (4.1%)patient. 14 (58.3%) patients had negative pivot shift and 10 (41.6%)had positive glide. Peroneus longus tendon autograft is an effective option for anterior cruciate ligament reconstruction with less complications and maintains ankle function.

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References

Angthong, C., Chernchujit, B., Apivatgaroon, A., Chaijenkit, K., Nualon, P., and Suchao-in, K. (2015). The anterior cruciate ligament reconstruction with the peroneus longus tendon: a biomechanical and clinical evaluation of the donor ankle morbidity. J Med Assoc Thai98, 555-560.

Bottoni, C. R., Smith, E. L., Shaha, J., Shaha, S. S., Raybin, S. G., Tokish, J. M., and Rowles, D. J. (2015). Autograft versus allograft anterior cruciate ligament reconstruction: a prospective, randomized clinical study with a minimum 10-year follow-up. The American journal of sports medicine43, 2501-2509.

Chee, M. Y., Chen, Y., Pearce, C. J., Murphy, D. P., Krishna, L., Hui, J. H., Wang, W. E., Tai, B. C., Salunke, A. A., and Chen, X. (2017). Outcome of patellar tendon versus 4-strand hamstring tendon autografts for anterior cruciate ligament reconstruction: a systematic review and meta-analysis of prospective randomized trials. Arthroscopy: The Journal of Arthroscopic & Related Surgery33, 450-463.

Grassi, A., Di Paolo, S., Dal Fabbro, G., Eroglu, O. N., Macchiarola, L., Lucidi, G. A., and Zaffagnini, S. (2022). Objective Laxity and Subjective Outcomes are More Influenced by Meniscal Treatment than Anterior Cruciate Ligament Reconstruction Technique at Minimum-Two-Years Follow-Up. Journal of ISAKOS.

Levy, Y., Gousopoulos, L., Hopper, G. P., Grob, C., Vieira, T. D., Fayard, J.-M., Thaunat, M., Chambat, P., and Sonnery-Cottet, B. (2022). Anterior Cruciate Ligament Reconstruction Using Bone-Patella Tendon-Bone Autograft With Press-Fit Femoral Fixation: The Original Chambat Technique. Arthroscopy Techniques.

Mayr, H. O., Benecke, P., Hoell, A., Schmitt-Sody, M., Bernstein, A., Suedkamp, N. P., and Stoehr, A. (2016). Single-bundle versus double-bundle anterior cruciate ligament reconstruction: a comparative 2-year follow-up. Arthroscopy: The Journal of Arthroscopic & Related Surgery32, 34-42.

Oluwadamilola, A., Yousaf, S., Zare, M., Mozafari, M., Youseffi, M., Twigg, P., and Sefat, F. (2019). Scaffolds for ligament tissue engineering. In "Handbook of Tissue Engineering Scaffolds: Volume One", pp. 299-327. Elsevier.

Poehling-Monaghan, K. L., Salem, H., Ross, K. E., Secrist, E., Ciccotti, M. C., Tjoumakaris, F., Ciccotti, M. G., and Freedman, K. B. (2017). Long-term outcomes in anterior cruciate ligament reconstruction: a systematic review of patellar tendon versus hamstring autografts. Orthopaedic journal of sports medicine5, 2325967117709735.

Rhatomy, S., Wicaksono, F. H., Soekarno, N. R., Setyawan, R., Primasara, S., and Budhiparama, N. C. (2019). Eversion and first ray plantarflexion muscle strength in anterior cruciate ligament reconstruction using a peroneus longus tendon graft. Orthopaedic Journal of Sports Medicine7, 2325967119872462.

Shichman, I., Baruchi, D., Rachevsky, G., Amzallag, N., Brandstetter, A. S., Vidra, M., and Morag, G. (2022). Bone filling decreases donor site morbidity after anterior cruciate ligament reconstruction with bone–patellar tendon–bone autografts. Archives of Orthopaedic and Trauma Surgery, 1-8.

Trung, D. T., Le Manh, S., Thanh, L. N., Dinh, T. C., and Dinh, T. C. (2019). Preliminary result of arthroscopic anterior cruciate ligament reconstruction using anterior half of peroneus longus tendon autograft. Open Access Macedonian Journal of Medical Sciences7, 4351.

Wang, S., Zhang, C., Cai, Y., and Lin, X. (2018). Autograft or allograft? Irradiated or not? A contrast between autograft and allograft in anterior cruciate ligament reconstruction: A meta-analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery34, 3258-3265.

Yu, H., Deng, W., Sang, P., and Liu, Y. (2020). Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon. Zhongguo xiu fu Chong Jian wai ke za zhi= Zhongguo Xiufu Chongjian Waike Zazhi= Chinese Journal of Reparative and Reconstructive Surgery34, 843-847.

Zhao, B.-A., Yao, Y.-Y., Ji, Q.-X., Li, Z.-Y., Cheng, B., and Pan, J.-F. (2022). No difference in postoperative efficacy and safety between autograft and allograft in anterior cruciate ligament reconstruction: a retrospective cohort study in 112 patients. Annals of Translational Medicine10.

Zheng, X., Hu, Y., Xie, P., Li, T., Feng, Y.-e., Gu, J., and Gao, S. (2019). Clinical outcomes and second-look arthroscopic findings of anterior cruciate ligament reconstruction with autograft, hybrid graft, and allograft. Journal of orthopaedic surgery and research14, 1-8.