Anterior Knee Pain Evaluation Following Anterior Cruciate Ligament (ACL) Reconstruction Using Anterior Half of The Peroneus Longus (AHPL) Autograft.

IF 1.7 Q2 ORTHOPEDICS
Orthopedic Research and Reviews Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI:10.2147/ORR.S495410
Ludwig Andibert Powantia Pontoh, Ismail Hadisoebroto Dilogo, Achmad Fauzi Kamal, Sholahuddin Rhatomy, Anggaditya Putra, Jessica Fiolin, Joshua Alward Herdiman, Ega Wirayoda Pontoh
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引用次数: 0

Abstract

Introduction: The anterior cruciate ligament (ACL) is crucial for knee stability and joint movement coordination. ACL injuries are common, often leading to knee instability and subsequent complications. ACL reconstruction is a standard treatment option, with various autograft sources available. The anterior half of the peroneus longus (AHPL) tendon has emerged as a potential alternative autograft. This study aimes to examine the anterior knee pain in ACL reconstruction using AHPL.

Materials and methods: This study included 51 patients with ACL injuries undergoing ACL reconstruction using the AHPL tendon autograft. Patient demographics, surgical details, and Kujala scores were collected.

Results: The average age of our participants was 25.88 ± 5.39 years, with mean BMI classified as obese. Significant improvements in Kujala and KOOS pain scores were observed between each data collection. There was a negative correlation between baseline and three and six months post-operatively Kujala and KOOS pain scores with BMI.

Discussion: The study findings suggest that ACL reconstruction using the AHPL tendon autograft significantly reduced anterior knee pain, as indicated by a better Kujala and KOOS pain score. Previous studies have highlighted concerns regarding anterior knee pain with other autograft sources, such as the patellar and hamstring tendons. The AHPL tendon autograft offers a promising alternative with favorable anterior knee pain and minimal donor site morbidity.

Conclusion: In ACL reconstruction, the AHPL tendon autograft demonstrates excellent outcomes regarding anterior knee pain, as measured by the Kujala score.

腓长肌前半段自体移植物重建前交叉韧带(ACL)后膝关节前侧疼痛评估。
前言:前交叉韧带(ACL)对膝关节稳定性和关节运动协调至关重要。前交叉韧带损伤是常见的,经常导致膝关节不稳定和随后的并发症。ACL重建是一种标准的治疗选择,有各种各样的自体移植物可供选择。腓骨长肌(AHPL)肌腱的前半部分已成为一种潜在的自体移植物。本研究旨在探讨AHPL重建前交叉韧带时的膝关节前侧疼痛。材料和方法:本研究包括51例ACL损伤患者,采用AHPL自体肌腱移植重建ACL。收集患者人口统计资料、手术细节和Kujala评分。结果:参与者的平均年龄为25.88±5.39岁,平均BMI为肥胖。每次数据收集之间观察到Kujala和kos疼痛评分的显著改善。基线及术后3、6个月Kujala和kos疼痛评分与BMI呈负相关。讨论:研究结果表明,采用AHPL自体肌腱移植重建前交叉韧带可显著减轻膝关节前侧疼痛,Kujala和oos疼痛评分更高。先前的研究强调了对其他自体移植物来源(如髌骨和腘绳肌腱)的膝关节前侧疼痛的关注。自体AHPL肌腱移植是一种很有前途的替代方法,具有良好的膝关节前侧疼痛和最小的供区发病率。结论:在前交叉韧带重建中,通过Kujala评分,AHPL自体肌腱移植对膝关节前侧疼痛表现出良好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthopedic Research and Reviews
Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
2.80
自引率
0.00%
发文量
51
审稿时长
16 weeks
期刊介绍: Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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