Functional outcomes in arthroscopic anterior cruciate ligament reconstruction using peroneus longus tendon graft

Siddhartha Sablay; Nitin Thikare; Nitin Wagh; Vaibhav Pawar

doi:10.18203/issn.2455-4510.IntJResOrthop20262903

Authors

Siddhartha Sablay Department of Orthopaedics, Fortis S. L. Raheja Hospital, Mumbai, Maharashtra, India
Nitin Thikare Department of Orthopaedics, GMC Gondia, Maharashtra, India
Nitin Wagh Dr VPMC, Nashik
Vaibhav Pawar Department of Orthopaedics, Dr. V. P. M. C., Nashik, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20262903

Keywords:

Anterior cruciate ligament, Peroneus longus tendon graft, Arthroscopic ACL reconstruction

Abstract

Background: Anterior cruciate ligament (ACL) rupture is a common knee injury in active individuals, leading to instability, meniscal and chondral damage, and early osteoarthritis. Arthroscopic ACL reconstruction is the preferred treatment. The concerns about donor site morbidity have prompted interest in alternative grafts such as the peroneus longus tendon, which offers adequate strength and potentially lower morbidity. This study evaluates the functional outcomes of arthroscopic ACL reconstruction using peroneus longus tendon autograft.

Methods: This 30-month prospective study at a tertiary centre evaluated arthroscopic ACL reconstruction with ipsilateral peroneus longus autograft in ≥34 skeletally mature patients (≥18 years) with complete ACL rupture and instability. Single-bundle medial portal technique used Endo button and interference screw fixation. Outcomes assessed preoperatively and at 3, 6, and 9 months using Tegner-Lysholm (T-L), International Knee Documentation Committee (IKDC) knee, and AOFAS ankle scores.

Results: The mean age of patients was 30.41 years±5.83, with male predominance (61.76%). Sports injury was the most common cause (55.88%), 73.53% had a graft diameter of 9 mm. The mean T-L score improved significantly from 65.79±4.66 preoperatively to 90.85±2.10 at 9 months. The mean IKDC score increased from 59.91±7.23 to 92.02±2.34. The mean AOFAS score decreased from 100±0.00 to 98.29±1.91, remaining within excellent to good range.

Conclusions: Peroneus longus autograft ACL reconstruction delivers excellent functional recovery and minimal donor-site impact, ideal for active patients.

Author Biography

Nitin Wagh, Dr VPMC, Nashik

Professor, Department of Orthopaedics

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