Effect of ACL Reconstruction Using Peroneus Longus versus Hamstring Autografts on Body Balance

Elbadawy, Lena Mahmoud Abo Alfotoh; Ashour, Reda Sayed; abdel shafy, Mohammed Refaat; Elsayyad, Lamiaa Kottob

doi:10.21608/iptccu.2025.440741

	Effect of ACL Reconstruction Using Peroneus Longus versus Hamstring Autografts on Body Balance
International Physical Therapy Conference - Cairo University
Volume 4, Issue 1 - Serial Number 20251, 2025, Page 166-183 PDF (1.17 MB)
Document Type: Original Article
DOI: 10.21608/iptccu.2025.440741
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Authors
Lena Mahmoud Abo Alfotoh Elbadawy ¹; Reda Sayed Ashour¹; Mohammed Refaat abdel shafy²; Lamiaa Kottob Elsayyad¹
¹Biomechanics Department, Faculty of Physical Therapy, Cairo University
²Orthopedic Surgery, Faculty of Medicine, Cairo University
Abstract
Background: The anterior cruciate ligament (ACL) is crucial for knee stability, with ACL injuries comprising about 50% of knee injuries. Donor site morbidity influences graft selection and rehabilitation, making graft choice essential. Purpose: This study aimed to investigate the effect of ACL reconstruction using peroneus longus tendon (PLT) versus hamstring tendon (HT) autografts on static balance. Subjects and Methods: Thirty-six patients with ACL injury were randomly assigned to PLT (n=18) or HT (n=18) groups. Static balance was evaluated by measuring single leg stance time before surgery and at three and six months after surgery. The IdFAI questionnaire excluded participants with functional ankle instability. All patients underwent a standardized six-month rehabilitation program aimed at reducing swelling, restoring motion, increasing strength, and safely returning to activity. Results: The PLT group demonstrated significantly greater improvements in single leg stance time at both three and six months postoperatively compared to the HT group. Only the PLT group showed significant improvement from preoperative to six-month follow-up. Both groups consistently had shorter single leg stance times on the injured leg compared to the uninjured leg. Conclusion: The PLT group showed greater improvements in static balance at three and six months postoperatively compared with the HT group. Both groups demonstrated improvement in static balance over time. Additionally, both groups showed a significant decrease in Single Leg Stance time on the affected side compared with the non-affected side at all measurement times.
Keywords
ACL Reconstruction; Hamstring Tendon; Peroneus Longus Tendon; Static Balance, postural control


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