Outcome of Autologous Peroneus Longus Graft in Anterior Cruciate Ligament Reconstruction

Author(s): Hasan Masud MD, Amjad Ali MD, Apel Chandra Saha, Syed E. Shaude

Background: The ACL is essential for maintaining knee stability and optimal performance in competitive sports. To restore knee stability after a rupture, ACL reconstruction (ACLR) is the most commonly performed surgical procedure. Objectives: The objective of this study was to determine the outcome of the autologous peroneus longus graft in ACL reconstruction.

Methods: This prospective study was carried out in the Department of Orthopedic Surgery, Bangladesh Specialized Hospital, Sir Salimullah Medical College & Hospital, and City Hospital, Dhaka follow up period July 2017 to April 2022. A total of 120 male and female patients who were presented with symptomatic single leg ACL insufficiency and clinically diagnosed as ACL injury attended at OPD. The patients were evaluated using KT arthro-meter for residual laxity. Statistical analyses of the results were obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-27).

Results: In this study, the highest number of patients was 40(33.33%) were observed in 3rd decade. The lowest, 4(3.33%) were observed in 4th and 5th decade. The mean age was 25.13±5.90 years with range from 16 to 45 years. The patients were male 72(60%) and 48(40%). Here, the causes of injury; sports activity 100(83.33%), RTA 16(13.33%) and others 4(3.33%) cases. Thickness of the graft was 7.5-8 mm in 35% of cases. All the patients were evaluated at the end of 4 weeks, 6 months and one year, 2nd and 3rd Year.

Conclusion: PLT has a greater ultimate tensile load, more thickness and length, less graft harvesting time, and almost no donor site morbidity and has a good functional outcome of the knee, making it an effective and safe autograft option.