Functional evaluation of ACL reconstruction using peroneus longus tendon autograft versus hamstring tendon autograft
Keywords:
ACL, Hamstring graft, Peroneus longus, Lysholm scoreAbstract
Background: Anterior cruciate ligament (ACL) reconstruction improves knee stability and function with many graft types, either autografts or allografts, which have already been studied extensively. Aim of the study: To compare between the clinical and functional outcomes of ACL reconstruction using peroneus longus tendon autograft versus hamstring tendon autograft. Patients and Methods: This study is a controlled randomized prospective study, that was conducted at Menoufia University Hospitals from February 2023 to February 2024. Twenty patients underwent ACL reconstruction using peroneus longus tendon autograft and twenty patients underwent ACL reconstruction using Hamstring autograft. A written well informed patient consent was obtained from all the participants. The patients were followed up for 12 months. Results: In HT group, the Lyshlom score has improved from 59.1±11.2 with range between 36-84 pre-operatively to become 93.9±4.6 with range between 84-100 post- operatively. While in PLT group, it has improved from 54.6±6.4 with range between 42-65 to become 94.8±4.7 with range between 85-100 post-operatively.
Downloads
References
Freedman KB, D'Amato MJ, Nedeff DD, et al. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. The American journal of sports medicine. 2003;31 (1):2-11. DOI: https://doi.org/10.1177/03635465030310011501
Ristanis S, Tsepis E, Giotis D, et al. Electromechanical delay of the knee flexor muscles is impaired after harvesting hamstring tendons for anterior cruciate ligament reconstruction. The American journal of sports medicine. 2009;37 (11):2179-86. DOI: https://doi.org/10.1177/0363546509340771
Samuelsson K, Andersson D, Karlsson J. Treatment of anterior cruciate ligament injuries with special reference to graft type and surgical technique: an assessment of randomized controlled trials. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2009;25 (10):1139-74. DOI: https://doi.org/10.1016/j.arthro.2009.07.021
Milenin O, Strafun S, Sergienko R, et al. Lateral meniscus replacement using peroneus longus tendon autograft. 2020;9 (8):1163-6. DOI: https://doi.org/10.1016/j.eats.2020.04.016
Costa GG, Perelli S, Grassi A, et al. Minimizing the risk of graft failure after anterior cruciate ligament reconstruction in athletes. A narrative review of the current evidence. Journal of experimental orthopaedics. 2022;9 (1):26-8. DOI: https://doi.org/10.1186/s40634-022-00461-3
Nishio Y, Kondo E, Onodera J, et al. Double-bundle anterior cruciate ligament reconstruction using hamstring tendon hybrid grafts in patients over 40 years of age: comparisons between different age groups. 2018;6 (5):23-7. DOI: https://doi.org/10.1177/2325967118773685
Vijay C, Santosh MS, Avinash C, et al. Is Peroneus longus autograft a better alternative to the Hamstring autograft for anterior cruciate ligament reconstruction? – A randomised control study. 2022;29 (1):22-6. DOI: https://doi.org/10.1177/22104917221088335
Rhatomy S, Asikin AI, Wardani AE, Rukmoyo T, Lumban-Gaol I, Budhiparama NC. Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single-bundle ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy. 2019 Nov;27(2):3552-9. DOI: https://doi.org/10.1007/s00167-019-05455-w
Joshi S, Shetty UC, Salim MD, Meena N, Kumar S, Rao VK. Peroneus longus tendon autograft for anterior cruciate ligament reconstruction: a safe and effective alternative in nonathletic patients. Nigerian Journal of Surgery. 2021 Oct 15;27(1):42- 7. DOI: https://doi.org/10.4103/njs.NJS_22_20
Shi FD, Hess DE, Zuo JZ, Liu SJ, Wang XC, Zhang Y, Meng XG, Cui ZJ, Zhao SP, Li CJ, Hu WN. Peroneus longus tendon autograft is a safe and effective alternative for anterior cruciate ligament reconstruction. The journal of knee surgery. 2019 Aug;32(08):804-11. DOI: https://doi.org/10.1055/s-0038-1669951
Agarwal A, Singh S, Singh A, Tewari P. Comparison of functional outcomes of an anterior cruciate ligament (ACL) reconstruction using a peroneus longus graft as an alternative to the hamstring tendon graft. Cureus. 2023 Apr;15(4):3-5. DOI: https://doi.org/10.7759/cureus.37273
Keyhani S, Qoreishi M, Mousavi M, Ronaghi H, Soleymanha M. Peroneus longus tendon autograft versus hamstring tendon autograft in anterior cruciate ligament reconstruction: a comparative study with a mean follow-up of two years. Archives of Bone and Joint Surgery. 2022 Aug;10(8):695-7.
He J, Tang Q, Ernst S, Linde MA, Smolinski P, Wu S, Fu F. Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy. 2021 Sep;29:2869-79. DOI: https://doi.org/10.1007/s00167-020-06279-9
Bi M, Zhao C, Zhang Q, Cao L, Chen X, Kong M, Bi Q. All-inside anterior cruciate ligament reconstruction using an anterior half of the peroneus longus tendon autograft. Orthopaedic Journal of Sports Medicine. 2021 Jun 15;9(6):23-8. DOI: https://doi.org/10.1177/2325967121991226
Kerimoglu S, Aynaci O, Saracoglu M, Aydin H, Turhan A. Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta orthopaedica et traumatologica turcica. 2008 Jan 1;42(1):38-43. DOI: https://doi.org/10.3944/AOTT.2008.42.1.038
Published
How to Cite
Issue
Section
Copyright (c) 2025 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
