Broader perspective on the role of peroneus longus tendon in ligament reconstruction.

Abstract

This article offers additional clinical and biomechanical insights into using the peroneus longus tendon (PLT) autograft in posterior cruciate ligament reconstruction. While recent studies report favorable knee outcomes, concerns remain regarding donor site morbidity. The PLT plays a key role in foot biomechanics, and its harvesting may lead to subtle changes, as suggested by imaging and pedobarographic studies. Tendon regeneration may limit long-term morbidity, but further studies are needed. We recommend that future research include gait analysis, long-term follow-up, and insights from anterior cruciate ligament literature.