Journal ArticleDOI
Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single-bundle ACL reconstruction
Sholahuddin Rhatomy,Asa Ibrahim Zainal Asikin,Anggun E Wardani,Tedjo Rukmoyo,Imelda Lumban-Gaol,Nicolaas C. Budhiparama +5 more
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TLDR
Anterior cruciate ligament reconstruction with peroneus longus autografts produces a functional score comparable to that of hamstring autografteds at a 1-year follow-up, with the advantages of larger graft diameter, less thigh hypotrophy and excellent ankle function based on AOFAS and FADI scores.Abstract:
A peroneus longus tendon autograft is used in many orthopaedic procedures and it is biomechanically comparable to a hamstring tendon autograft. Despite its potential, there are few studies that have evaluated the use of the peroneus longus tendon in ACL reconstruction. The aim of this study was to compare the clinical outcome and donor site morbidity of ACL reconstruction with hamstring tendon autografts versus peroneus longus tendon autografts in patients with an isolated ACL injury. Patients who underwent isolated single-bundle ACL reconstruction were allocated to two groups (hamstring and peroneus longus) and observed prospectively. Graft diameter was measured intraoperatively. Functional scores (IKDC, modified Cincinnati and Lysholm scores) were recorded preoperatively and 1 year after surgery. Donor site morbidities were assessed with thigh circumference measurements and ankle scoring with the AOFAS and FADI. Fifty-two patients (hamstring n = 28, peroneus n = 24) met the inclusion criteria. The peroneus longus graft diameter (8.8 ± 0.7 mm) was significantly larger than the hamstring diameter (8.2 ± 0.8 mm) (p = 0.012). There were no significant differences between the pre- and 1-year postoperative score between the hamstring and peroneus longus groups in the IKDC (n.s), modified Cincinnati (n.s), and Lysholm (n.s). The mean for the AOFAS was 97.3 ± 4.2 and for the FADI 98 ± 3.4 in the peroneus longus group, with a significant decrease in thigh circumference in the hamstring group (p = 0.002). Anterior cruciate ligament reconstruction with peroneus longus autografts produces a functional score (IKDC, modified Cincinnati, Lysholm) comparable to that of hamstring autografts at a 1-year follow-up, with the advantages of larger graft diameter, less thigh hypotrophy and excellent ankle function based on AOFAS and FADI scores. Prospective cohort study, Level II.read more
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Journal ArticleDOI
Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis
Jinshen He,Jinshen He,Qi Tang,Sara Ernst,Monica A. Linde,Patrick Smolinski,Song Wu,Freddie H. Fu +7 more
TL;DR: The PLT is a suitable autograft harvested outside the knee for ACL reconstruction to avoid the complication of quadriceps-hamstring imbalance which can occur when harvesting autografteds from the knee.
Journal ArticleDOI
Eversion and First Ray Plantarflexion Muscle Strength in Anterior Cruciate Ligament Reconstruction Using a Peroneus Longus Tendon Graft
Sholahuddin Rhatomy,Fidelis H. Wicaksono,Noha Roshadiansyah Soekarno,Riky Setyawan,Shinta Primasara,Nicolaas C. Budhiparama +5 more
TL;DR: Ankle eversion and first ray plantarflexion strength at the donor site were similar to those at the contralateral healthy site, with no donor site morbidity, which suggests that the peroneus longus tendon is a promising graft in ACL reconstruction.
Journal ArticleDOI
Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity
Sholahuddin Rhatomy,Muhammad Bahtera Tri Abadi,Riky Setyawan,Asa Ibrahim Zainal Asikin,Noha Roshadiansyah Soekarno,Lumban-Gaol Imelda,Nicolaas C. Budhiparama +6 more
TL;DR: PLT is a good choice as a graft in PCL reconstruction at the 2-year follow-up, with minimal donor site morbidity, and means AOFAS and FADI scores were excellent, with no difference in thigh circumference between the groups.
Journal ArticleDOI
Anatomic Posterolateral Corner Reconstruction With Autogenous Peroneus Longus Y Graft Construct.
TL;DR: The posterolateral corner of the knee is composed of the fibular collateral ligament, popliteus tendon, and popliteofibular ligaments, which provide varus and rotational stability to the knee.
Journal ArticleDOI
The Hamstrings: Anatomic and Physiologic Variations and Their Potential Relationships With Injury Risk
José Afonso,Sílvia Rocha-Rodrigues,Filipe Manuel Clemente,Michele Aquino,Pantelis T. Nikolaidis,Hugo Sarmento,Alberto Fílter,Jesús Olivares-Jabalera,Rodrigo Ramirez-Campillo +8 more
TL;DR: In this paper, the authors explored the available information on the anatomic variations of the hamstrings, providing a deeper insight into the individual risk factors for hamstrings injuries and contributing with better knowledge and potential applications toward a more individualized exercise prescription.
References
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Journal ArticleDOI
The science of reconstruction of the anterior cruciate ligament.
TL;DR: In the present review, the current scientific understanding of reconstruction of the anterior cruciate ligament is discussed in a sequence based on the order in which clinical decisions are made, to help orthopaedic surgeons to understand the reasons for previous and current successes and failures of reconstruction.
Journal ArticleDOI
Arthroscopic reconstruction of the anterior cruciate ligament. A comparison of patellar tendon autograft and four-strand hamstring tendon autograft.
TL;DR: Kneeling pain after reconstruction with the hamstring tendon Autograft was significantly less common than with the patellar tendon autograft, suggesting lower donor-site morbidity with hamstring tendon harvest.
Journal ArticleDOI
Graft Size and Patient Age Are Predictors of Early Revision After Anterior Cruciate Ligament Reconstruction With Hamstring Autograft
Robert A. Magnussen,J. Todd R. Lawrence,Ryenn L. West,Alison P. Toth,Dean C. Taylor,William E. Garrett +5 more
TL;DR: Cutting hamstring autograft size and decreased patient age are predictors of early graft revision in patients aged under 20 years is associated with higher revision rates.
Journal ArticleDOI
Anterior cruciate ligament replacement: comparison of bone-patellar tendon-bone grafts with two-strand hamstring grafts. A prospective, randomized study.
Bruce D. Beynnon,Robert J. Johnson,Braden C. Fleming,P. Kannus,Michael J. Kaplan,John Samani,Per Renström +6 more
TL;DR: After three years of follow-up, the objective results of anterior cruciate ligament Replacement with a bone-patellar tendon-bone autograft were superior to those of replacement with a two-strand semitendinosus-gracilis graft with regard to knee laxity, pivot-shift grade, and strength of the knee flexor muscles.
Journal ArticleDOI
Anterior Cruciate Ligament Graft Fixation Comparison of Hamstring and Patellar Tendon Grafts
TL;DR: With appropriate fixa tion, both grafts approximated the intact anterior cruciate ligament in strength, but only patellar tendon grafts secured with interference screws were comparable in stiffness.