Primary ACL Reconstruction Using Peronus Longus Tendon Autograft; Short Term Outcome

Ahmed, Mustafa Ali Maher Abdallah; Abdelfattah, Islam Sameeh; Abdel samee, Mohamed Magdy Mohamed; Elmalt, Ahmed Elsayed

doi:10.21608/zumj.2025.381364.3935

	Primary ACL Reconstruction Using Peronus Longus Tendon Autograft; Short Term Outcome
Zagazig University Medical Journal
Volume 31, Issue 8, August 2025, Page 4293-4299 PDF (1.15 MB)
Document Type: Original Article
DOI: 10.21608/zumj.2025.381364.3935
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Authors
Mustafa Ali Maher Abdallah Ahmed ¹; Islam Sameeh Abdelfattah²; Mohamed Magdy Mohamed Abdel samee¹; Ahmed Elsayed Elmalt³
¹Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt
²Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.
³orthopaedic,faculty of medicine,zagazig university,zagazig,Egypt
Abstract
Background: ACL Reconstruction is a widely popular procedure. It requires ideal graft choice. For long period of time hamstring, PTP and quadriceps tendon autografts repre-sented the different alternative for ACL Reconstruction autograft. They had local com-plications regarding strength and donor site complications. Peroneus longus tendon graft is an excellent autograft alternative giving excellent clinical and functional results with negligible ankle morbidity and keep knee clear of local tendon donor site morbidity. Pe-roneus longus can represent the first choice for substituting torn ACL. So, we aimed to evaluate advantage and disadvantages of using peroneus longus tendon autograft in primary isolated ACL reconstruction. Methods: 82 cases were operated by two strand peroneus longus for substituting torn ACL, followed up for 2 years. Intraoperative measurement of graft diameter was rec-orded. At 2 years follow-up patients were clinically evaluated for knee stability and do-nor site complications and functionally by ankle and knee functional scores. Results: Graft thickness for all cases exceeded 8 mm which is considered the minimum required diameter recommended by most authors, lachman stability testing gave negative result in 95.2% of our cases. Donor site complications were minimal, functional knee and ankle scores were excellent. Conclusion: Peroneus longus tendinious unit can substitute torn ACL giving excellent clinical and functional results. It can be the first choice for primary ACL Reconstruc-tion.
Keywords
Peroneus longus; ACL Reconstruction; Hamstring; morbidity


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