Prospective evaluation of functional outcome in anterior cruciate ligament reconstruction with peroneus longus graft: a hospital-based study

Dilip Stivart Bosco; Prunav Adhav Prithvi Raj; Ponnilavan Krishnan; Harinarayanan Narayanan; Anitha Adisegaran

doi:10.18203/issn.2455-4510.IntJResOrthop20250451

Authors

Dilip Stivart Bosco Department of Orthopedics, Pondicherry Institute of Medical Sciences, Puducherry, India
Prunav Adhav Prithvi Raj Department of Orthopedics, Pondicherry Institute of Medical Sciences, Puducherry, India
Ponnilavan Krishnan Department of Orthopedics, Pondicherry Institute of Medical Sciences, Puducherry, India
Harinarayanan Narayanan Department of Orthopedics, Pondicherry Institute of Medical Sciences, Puducherry, India
Anitha Adisegaran Department of Orthopedics, Pondicherry Institute of Medical Sciences, Puducherry, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20250451

Keywords:

Anterior cruciate ligament, Peroneus longus tendon, VAS scores, Lysholm scores, Donor site morbidity

Abstract

Background: Anterior cruciate ligament (ACL) reconstruction using the peroneus longus tendon (PLT) graft is emerging as a viable alternative to traditional autografts, offering comparable strength and reduced donor site morbidity. This study evaluates the functional outcomes and complications of ACL reconstruction using this PLT graft.

Methods: A hospital-based prospective study was conducted on 50 patients with isolated ACL tears. Outcomes, including Lysholm, IKDC, Tegner activity, and modified Cincinnati scores, were assessed preoperatively and postoperatively at 6 and 12 months. Visual analog scale (VAS), range of motion (ROM), and complications were also recorded. Statistical significance was set at p<0.05.

Results: Significant improvements were observed in Lysholm (46.2±10.3 to 89.4±6.7), IKDC (38.1±9.7 to 85.2±5.9), and modified Cincinnati (37.5±8.2 to 85.3±5.1) scores (p<0.001). ROM increased from 115°±15° to 140°±5°, and pain (VAS) decreased from 7.4±1.2 to 1.5±0.7. Complications were minimal, with a 2% graft failure rate and mild donor site morbidity.

Conclusions: ACL reconstruction with the peroneus longus graft provides excellent functional outcomes and minimal complications, making it a reliable alternative to conventional autografts.

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