Peroneus Tendon Autograft in a Revision Anterior Cruciate Ligament Reconstruction

Abstract

Introduction: The tendon graft option in revision surgery for anterior cruciate ligament re-tear still represents a debatable subject, regarding which is the best. As a primary option, the peroneus longus tendon (PLT) auto graft used in the reconstruction of the anterior cruciate ligament has been reported with success in many studies, but there are few reports about the uses of PLT in revision surgeries. This study aimed to assess the functional result of PLT autograft in revision ACL surgeries. Methods: A retrospective study was done on 16 young male patients, who underwent revision surgeries for ACL re-tear, using double or triple folded full thickness peroneus longus tendon autograft graft, functional results of the knee and ankle using Lysholm score and American orthopaedic foot and ankle disability index, evaluated after two years of surgeries. Results: After two years of surgery, the Lysholm score was good – an excellent result in 11 patients (73.33%), fair-good in 3 patients (20%) and poor in one patient only (6.66%). American foot and ankle score was 100 in 14 patients and 95 only in one patient. Conclusion: It has been concluded that PLT auto graft, represents a good graft option in revision ACL surgeries with no or little donor site morbidity.

Keywords

• tendon graft
• anterior cruciate ligament
• peroneus longus tendon (plt)
• lysholm score