Functional and clinical outcome of anterior cruciate ligament reconstruction with peroneus longus autograft and correlation with MRI after 3 years.

Autor: Rajani AM; Orthopaedic Arthroscopic Knee and Shoulder Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Ghanasingh Fine Jewels, Next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India., Shah UA; Orthopaedic Arthroscopic Knee and Shoulder Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Ghanasingh Fine Jewels, Next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India., Mittal AR; Orthopaedic Arthroscopic Knee and Shoulder Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Ghanasingh Fine Jewels, Next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India., Rajani A; Orthopaedic Arthroscopic Knee and Shoulder Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Ghanasingh Fine Jewels, Next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India., Punamiya M; Orthopaedic Arthroscopic Knee and Shoulder Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Ghanasingh Fine Jewels, Next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India., Singhal R; Orthopaedic Arthroscopic Knee and Shoulder Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Ghanasingh Fine Jewels, Next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2022 Aug 30; Vol. 34, pp. 215-220. Date of Electronic Publication: 2022 Aug 30 (Print Publication: 2022).
DOI: 10.1016/j.jor.2022.08.027
Abstrakt: Introduction: Autograft options for anterior cruciate ligament reconstruction over the years have gone from bone-patellar tendon-bone to hamstring to peroneus longus tendon. Considering the drawbacks of other autografts, we analyse peroneus longus autograft holistically as a viable alternative.
Materials and Methods: This was a prospective study of 113 patients undergoing anterior cruciate ligament reconstruction with peroneus longus autograft between January 2017 and November 2018 for isolated, full-thickness ACL tears. Functional analysis was done using the Tegner-Lysholm score pre-operatively, at 6 months, 1 year, 2 years, and 3 years postoperatively. At terminal follow-up, stability was checked clinically by Lachman test, residual morbidity of donor site was assessed using foot and ankle disability index, and radiographic correlation was done with magnetic resonance imaging.
Results: The mean diameter of the graft after tripling was 9 ± 0.71 mm and the average length before tripling was found to be 27.07 ± 2.76 cms. At terminal follow-up, 101 patients showed excellent, while 12 patients showed good outcomes. The mean foot and ankle disability index was 94.8 ± 3. 90.27% of patients had no laxity on clinical examination, and magnetic resonance imaging of all the patients at terminal follow-up showed good graft uptake.
Conclusions: Peroneus longus autograft shows intraoperative consistency and gives excellent functional outcome, clinical stability, and no donor site morbidity even three years postoperatively.
(© 2022 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: