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Corresponding Author

Islam Ibrahim Mohammad Ibrahim

Authors ORCID

0000-0002-8390-5547

Document Type

Original Article

Abstract

Background: When it comes to sports and accidents involving the knee, the anterior cruciate ligament (ACL) is the most common ligament injured. ACLR helps restore stability and function to the knee. The two most common types of tendon autografts are those from the hamstring (HT) and the patellar tendon (BPTB).

Objectives: To assess the function and outcome of the knee following ACLR using peroneus longus tendon (PLT) autograft.

Patients and methods: This prospective study was performed on thirty males with isolated ACL tears at Al-Azhar University Hospitals between December 2021 and June 2022 and followed up for one year. These patients underwent single-bundle arthroscopic ACLR with the PLT autograft.

Results: A statistically significant difference was observed regarding International Knee Documentation Committee (IKDC), Tegner-Lysholm, Modified Cincinnati and Lachman test scores from pre-operation to 6- and 12-months follow-up and as regard Knee Visual Analog Scale (VAS) score from pre-operation to 3 months follow-up (p-values < 0.0001). A low statistically significant difference regarding the American Orthopedic Foot and Ankle Society (AOFAS) and the Foot and Ankle Disability Index (FADI) scores between pre-operation and six months follow-up with p-values of (p=0.0023 and p=0.0149 respectively) and no statistically significant difference after 12 months follow-up with p-values of (p=0.0735 and p=0.0912 respectively) were observed.

Conclusion: PLT full-thickness autograft provides a stable painless knee, with an excellent range of motion and improved quality of life, with no adverse effects on the ankle or gait. It can be deemed a reasonable autograft option for ACL reconstruction.

Keywords

ACL; Peroneus longus tendon autograft; AOFAS

Subject Area

Orthopedics

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