Peroneus Longus Tendon Graft as Competent Option for ACL Reconstruction with Two years Follow-up and its Anthropometric Correlation
Abstract
Introduction: ACL Reconstruction (ACLR) with various autografts is associated with several complications. Autograft diameter is an important factor contributing to ACLR failure. In this study, we evaluated the long-term functional outcome of the peroneus longus tendon (PLT) graft in primary ACLR and donor site morbidity, and evaluated the correlation of PLT dimensions (length and diameter) with various anthropometric parameters.
Materials and methods: The patient’s pre-operative anthropometric data were recorded. Ipsilateral PLT graft was harvested, and the distal part tenodesis done with the peroneus brevis. Graft diameter and length were noted intra-operatively. The Lachmann test, Pivot Shift test, Lysholm II knee score, and AOFAS were recorded at pre-operative, six months, one year, and two years post-operatively. Results with p-values <0.05 were considered significant.
Results: During this study 51 patients were enrolled. Mean graft diameter and length were 7.93mm and 25.71cm, respectively. Mean Lysholm Score was 97.07, and AOFAS was 98.07 at 2 years follow-up. Six patients showed Lachman Grade 1+, and 3 had Pivot shift test positive 1+ at 2 years. A strong positive correlation of graft diameter and length with both patient height (cm) and weight (kg) was observed. But neither graft diameter nor length was significantly correlated with either age or BMI.
Conclusion: PLT autograft demonstrate favourable long-term functional outcome at the knee, minimal donor site morbidity at the ankle. Among anthropometric parameters, height and weight are associated with PLT diameter and length prediction. No association of patient’s age and BMI was found with graft diameter and length.
Abstract | Reference
