scholarly journals Lateral Meniscus Replacement Using Peroneus Longus Tendon Autograft

2020 ◽  
Vol 9 (8) ◽  
pp. e1163-e1169
Author(s):  
Oleg Milenin ◽  
Sergiy Strafun ◽  
Ruslan Sergienko ◽  
Kirill Baranov
Keyword(s):  
Lateral Meniscus ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Meniscus Replacement ◽  
Tendon Autograft

scholarly journals Arthroscopic anterior cruciate ligament reconstruction with semitendinosus graft versus peroneus longus tendon graft

2020 ◽  
Vol 6 (2) ◽  
pp. 386
Author(s):  
Pudari Manoj Kumar ◽  
Ishan Shevte ◽  
Mukesh Phalak ◽  
Abhishek Nair ◽  
Parth .
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Tendon Graft ◽  
Collateral Ligament ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Anterior Cruciate ◽  
Tendon Autograft

<p class="abstract"><strong>Background:</strong> Arthroscopic anterior cruciate ligament (ACL) reconstruction can be performed using autograft from various sources namely, bone patellar tendon graft, hamstring tendons (semitendinosus, gracilis) or peroneus longus tendon.</p><p class="abstract"><strong>Methods:</strong> A prospective study of 30 patients who underwent arthroscopic ACL reconstruction using quadrupled semitendinosus tendon autograft and peroneus longus tendon autograft during the study period.<strong></strong></p><p class="abstract"><strong>Results:</strong> Statistically, there is very little comparable difference between semitendinosus and peroneus longus when used for arthroscopic ACL reconstruction. However, peroneus longus tendon shows superior results when used in patients with grade 3 medial collateral ligament (MCL) injury combined with ACL injury.</p><p class="abstract"><strong>Conclusions:</strong> Our study brings forth the superior efficacy and quality of the double stranded peroneus longus tendon especially in cases associated with complicated injuries involving the medial collateral ligament with a follow up date of about 2 years and as a healthy supplement to other choices of autografts and revision cases.</p>

Peroneus Longus Tendon Autograft: A Promising Graft for ACL Reconstruction

2021 ◽  
Vol 1 (4) ◽  
pp. 263502542110098
Author(s):  
Nicolaas C. Budhiparama ◽  
Sholahuddin Rhatomy ◽  
Krisna Yuarno Phatama ◽  
William Chandra ◽  
Asep Santoso ◽  
...  
Keyword(s):  
Acl Reconstruction ◽  
Donor Site ◽  
Hamstring Tendon ◽  
Tendon Graft ◽  
Skin Incision ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Tendon Autograft ◽  
Primary Acl Reconstruction

Background: With the increasing use of hamstring tendon as an autograft in anterior cruciate ligament (ACL) reconstruction, some shortcomings have been found on the donor site. Therefore, an alternative autograft option with adequate strength and less donor site morbidity will be very valuable. Peroneus longus tendon has been found to be a promising option. Indication: Primary ACL reconstruction. Technique Description: Peroneus longus tendon graft is harvested with a longitudinal skin incision at 2 to 3 cm (2 finger-breadths) above and 1 cm (1 finger-breadth) behind the lateral malleolus, followed by superficial fascia incision in line with skin incision. The peroneus longus and peroneus brevis tendons were then identified. The tendon division location was marked at 2 to 3 cm above the level of the lateral malleolus. After that, an end-to-side suture was performed between the distal part of the peroneus longus tendon and peroneus brevis tendon. The peroneus longus tendon was stripped proximally with a tendon stripper to at least 5 cm from the fibular head to prevent peroneal nerve injury. Graft preparation was performed with a standard procedure to obtain the suitable graft size. In routine arthroscopic ACL reconstruction, peroneus longus tendon graft fixation can be performed with a cortical suspension device, bioabsorbable screws, or a combined technique. Results: Recent studies showed that peroneus longus autograft had a comparable outcome with hamstring tendon autograft in primary ACL reconstruction at a 1-year follow-up. The use of peroneus longus tendon autograft resulted in larger graft diameter and less thigh hypotrophy. The mean (±SD) for the AOFAS-Hindfoot Score in the peroneus longus group was 97.3 ± 4.2, while the mean FADI score was 98 ± 3.4, both of which were considered excellent results. Discussion/Conclusion: The use of peroneus longus autograft in primary ACL reconstruction is a safe procedure with an excellent outcome. Peroneus longus tendon autograft can be recommended as an alternative graft in single-bundle ACL reconstruction. Further study of the functional outcome and knee stability evaluation is recommended.

scholarly journals COMPARATIVE STUDY OF SINGLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE PERONEUS LONGUS TENDON AUTOGRAFT VERSUS HAMSTRING TENDON AUTOGRAFT

2021 ◽  
Vol 5 (9) ◽  
Author(s):  
Pankaj Jain ◽  
Rajesh Kumar Kushwaha ◽  
Ahteshyam Khan ◽  
Prashant Modi ◽  
Hari Saini
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Functional Score ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Anterior Cruciate ◽  
Tendon Autograft ◽  
Graft Diameter

Introduction: Arthroscopic anterior cruciate ligament (ACL) reconstruction can be performed using autograft from various sources namely bone patellar tendon bone graft, hamstring graft, or peroneus longus tendon. Purpose of this study was to compare the clinical outcome and donor site morbidity of ACL reconstruction with peroneus longus tendon versus hamstring tendon autograft in patients with an isolated ACL injury. Methods: Patients who undervent isolated single bundle ACL reconstruction were allocated in peroneus and hamstring groups and observed prospectively. Functional score (IKDC, & Modified Cincinnati score) was recorded preoperatively and 1 year post-operatively. Graft diameter was measured intra-operatively. Donor site morbidity were assessed with thigh circumference measurments and ankle scoring by MRC grading and FADI Score. Results: 56 patients (28-Hamstring and 28-peroneus group) met the inclusion criteria. The average Peroneus longus graft diameter (8.8±0.8) was significantly larger than the Hamstring graft diameter (8.1±0.9). In terms of 1-year postoperative outcomes statistically there is very little comparable difference between both these grafts when used for arthroscopic ACL reconstruction. Conclusion: Our study brings forth the superior efficacy and quality of double stranded peroneus longus tendon autograft in term of good functional score (IKDC, & Modified Cincinnati score), larger graft diameter, less thigh hypotrophy, and excellent ankle function based on FADI Score. Prospective cohort study, level II. Abbreviations: ACL- Anterior cruciate ligament BPTB- Bone-patellar tendon-bone IKDC – International knee documentation committee FADI- Foot and ankle disability index.

scholarly journals Efficacy Study of Medial Patellofemoral Ligament Single-bundle Reconstruction with Anterior Half of the Peroneus Longus Tendon Autograft for Treatment of Recurrent Patellar Dislocation

2020 ◽  
Author(s):  
Junjun Zha ◽  
Tianwei Zhang ◽  
E Cai ◽  
Ju Tang
Keyword(s):  
Patellar Dislocation ◽  
Medial Patellofemoral Ligament ◽  
Mpfl Reconstruction ◽  
Lateral Release ◽  
Recurrent Patellar Dislocation ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Anterior Half ◽  
Tendon Autograft

Abstract Background To report the clinical outcomes of a longitudinal patellar tunnel technique in reconstruction of the medial patellofemoral ligament(MPFL) with anterior half of the peroneus longus tendon autograft treatment of recurrent patellar dislocation.Methods From May 2010 to January 2019, we performed MPFL reconstruction with anterior half of the peroneus longus tendon autograft by using a longitudinal patellar tunnel technique on 48 knees in 45 patients(26 female, 19 male) with the median age was 24 (17 ~ 44) years old with recurrent patellar dislocation. We made one 4. 5 mm channel from the medial upper edge of the patella to the surface (medial half) of the patella so that to introduce autograft into the medial femoral channel. The autograft was fixed with absorbable screws with the knee bent at 30°. CT and X-rays were used to assess the correction of the tibia tuberosity- trochlear groove (TT-TG) distance, patellar tilt angle, Caton-Deschamps index, femoral anteversion angle, tibial extorsion angle, and the presence or absence of knee valgus. Subjective scores, such as Kujala score and Lysholm score, were used to evaluate knee function preoperatively and postoperatively.Results No recurrence of patellar dislocation occurred in these patients during an average of 25 ± 7.6 months (range, 6 to 54 months) of follow-up. Preoperative TT-TG distance, patellar tilt angles, and Caton-Deschamps index was (18.9 ± 5.7)mm(10.2mm ~ 32.4 mm),31.5°±13.7° (20.3°~58.4°),1.1 ± 0.2 (1.0 ~ 1.5), respectively, which were corrected by (10.8 ± 4.3) mm (4.5 mm ~ 17.1 mm), 10.7°±2.6° (5.6°~15.3°), and 1.07 ± 0.06 (1.02 ~ 1.15) postoperatively(P < 0.05). 28 knees were treated with lateral release + MPFL reconstruction; 11 knees were treated with lateral release + tibial tubercle ingression + MPFL reconstruction; 9 knees were treated with lateral release + tibial tubercle ingression and depression + MPFL reconstruction. At the last follow-up, Lysholm score was (89.7 ± 2.3), which significantly improved (P < 0.05) compared with the pre-operational score of (54.4 ± 5.9); Kujala score was (91.5 ± 4.4) points, which significantly improved (P < 0.05) compared with the pre-operational score of (60.6 ± 5.8).Conclusion One patellar tunnels in reconstruction of the medial patellofemoral ligament (MPFL) with anterior half of the peroneus longus tendon autograft is a safe, effective, and economic method for recurrent patellar dislocation.

scholarly journals Clinical Outcome of Arthroscopic Posterior Cruciate Ligament Reconstruction with Adjustable-Loop Femoral Cortical Suspension Devices

2019 ◽  
Vol 7 (17) ◽  
pp. 2791-2795 ◽  
Author(s):  
Sholahuddin Rhatomy ◽  
Jacky Ardianto Horas ◽  
Asa Ibrahim Zainal Asikin ◽  
Riky Setyawan ◽  
Thomas Edison Prasetyo ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Functional Outcome ◽  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Pcl Reconstruction ◽  
Peroneus Longus Tendon ◽  
Longus Tendon ◽  
Peroneus Longus ◽  
Ikdc Score ◽  
Tendon Autograft

BACKGROUND: Incidence of isolated posterior cruciate ligament (PCL) injury is lower than PCL rupture is associated with other knee injuries. Adjustable loop femoral cortical suspension device is commonly used for femoral graft fixation during PCL reconstruction. AIM: This study purpose is to describe the functional outcome of PCL reconstruction using an adjustable loop femoral cortical suspension device. METHODS: This study used prospective design with consecutive sampling. All patients underwent PCL reconstruction with adjustable loop femoral cortical suspension devices using peroneus longus tendon autograft. Patients were evaluated at 6 months after surgery using posterior drawer test and functional outcome scoring system (Lysholm knee score, Cincinnati Score and International Knee Documentation Committee (IKDC) score). RESULTS: 20 patients were enrolled in this study with a mean age of 27.65 ± 9.78. Lysholm knee means the score was improved from 59.80 ± 18.73 pre-operative and 80.55 ± 11.72 post-operative (p < 0.05). Cincinnati mean score was improved from 52.01 ± 20.29 pre-operative to 72.95 ± 15.26 post-operative (p < 0.05). IKDC mean score was improved from 48.36 ± 13.18 at pre-operative to 72.5 ± 13.13 post-operative (p < 0.05). CONCLUSION: PCL reconstruction using adjustable loop femoral cortical suspension device using peroneus longus tendon autograft showed good clinical outcome and knee functional outcome (Lysholm, Cincinnati, and IKDC score) at 6 months follow-up.

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