A retrospective cohort study of anterior half peroneus longus tendon vs hamstring tendon for anterior cruciate ligament reconstruction: A minimum 3-years follow-up

IF 0.4 Q4 ORTHOPEDICS

Journal of Orthopaedics Trauma and Rehabilitation Pub Date : 2022-05-12 DOI:10.1177/22104917221085722

U. Gunadham, P. Woratanarat

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引用次数: 1

Abstract

Background: The anterior half of the peroneus longus tendon (AHPLT) has recently gained popularity to become the alternate graft choice for anterior cruciate ligament reconstruction due to its acceptable biomechanical properties, easy and safe to harvest. Methods: A retrospective study was conducted to compare the results of anterior cruciate ligament (ACL) reconstruction with AHPLT and hamstring graft at the minimum of 3 years follow-up. Knee stability, International Knee Documentation Committee (IKDC) subjective score and Tegner activity level were collected. Results: There was no clinical significance regarding physical examination. Postoperative IKDC score was higher in the hamstring group compared with AHPLT group. Multiple regression analysis was done. The parsimonious model revealed graft types and gender were the most optimal variables explained postoperative IKDC score. Conclusion: AHPLT graft can be an alternative choice to conventional graft for single anatomic ACL reconstruction with less donor site morbidity, however there must be concern for smaller graft in short and thin female patients.

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前半腓长肌肌腱与腘绳肌腱重建前交叉韧带的回顾性队列研究:至少3年随访

背景:腓骨长肌腱前半部分(AHPLT)由于其可接受的生物力学特性，易于安全收获，最近成为前交叉韧带重建的替代移植物选择。方法:回顾性研究比较AHPLT和腘绳肌腱移植重建前交叉韧带(ACL)至少3年的随访结果。收集膝关节稳定性、国际膝关节文献委员会(IKDC)主观评分和Tegner活动水平。结果:体格检查无临床意义。腘绳肌组术后IKDC评分高于AHPLT组。进行多元回归分析。简约模型显示移植物类型和性别是解释术后IKDC评分的最佳变量。结论:AHPLT移植物可替代传统移植物进行单解剖前交叉韧带重建，供体部位发病率低，但对于身材矮小的女性患者，需注意移植物体积较小。

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