Anterior Cruciate Ligament Reconstruction by Using Hamstring Tendon Versus Peroneus Longus Tendon | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 301-317 PDF (1.69 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449746 | ||
| Authors | ||
| Ayman Abdelbaset Abdelsamad; Atef Mohamed Morsy; Mahmoud Gouda Abdallah* ; Ahmed Mohamed Hassaan | ||
| Orthopedic Surgery Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt. | ||
| Abstract | ||
| Background The primary passive structure that ensures knee stability in conjunction with the femur and tibia is the anterior cruciate ligament (ACL). The primary function of the ACL is to restrict the forward tibia movement and knee varus and valgus during extension. The ACL travels medially, anteriorly, and distally to the tibia. It has a width of 7 to 12mm and a length that ranges from 22 to 41mm (mean, 32mm). Aim of the Work To assess the stability of the knee in ACLR utilizing a peroneus longus tendon autograft versus a hamstring tendon autograft, utilizing the international knee documentation committee (IKDC) score and the Lysholm score, and to assess the morbidity and stability of the ankle in the PLT patient group using the American Orthopedic Foot Ankle Scoring procedure Patients and Methods From July 2021 to October 2023, this prospective clinical research was conducted at the Beni-Suef University Hospital, a tertiary care hospital, on a total of 52 patients who presented with an ACL tear. The study was conducted after the ethical committee approved the protocol and the patients provided informed consent. Results Our research indicates statistically significant enhancements in IKDC and Lysholm scores for patients in the peroneus longus tendon (PLT) group in contrast to the hamstring group within the initial six postoperative months. PLT patients demonstrated improvement after 6 weeks of surgery, achieving normal levels at and beyond twelve months. Conclusions The PLT appeared to be a suitable autograft option for ACLR, as it yielded satisfactory functional outcomes, mitigated potential complications associated with the autograft harvested from the knee region, and did not substantially impact the ankle joint. | ||
| Keywords | ||
| Anterior Cruciate Ligament Reconstruction; Hamstring Tendon; Peroneus Longus Tendon | ||
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