Ahmed Mohamed Yousif Mohamed, Monzir Salih, Mugahid Mohamed, Ayman E Abbas, Maysara Elsiddig, Mazin Abdelsalam, Basil Elhag, Nujud Mohamed, Souzan Ahmed, Deena Omar, Samah Ahmed, Duaa Mohamed
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The ideal tendon source for PCL reconstruction is still a subject of debate.</p><p><strong>Aim: </strong>To evaluate the results of employing the peroneus longus tendon (PLT) in PCL reconstruction.</p><p><strong>Methods: </strong>A comprehensive search was conducted to identify relevant randomized controlled trials and retrospective observational studies discussing the outcomes of using the PLT for PCL reconstruction. Studies published up to August 2024 were searched across multiple databases, including PubMed, EMBASE, Scopus, Web of Science, Cochrane Library, and Google Scholar. Full texts of the selected articles were retrieved, reviewed, and independently assessed by the investigators. Discrepancies were resolved by consensus, with any remaining disagreements being arbitrated by a third author.</p><p><strong>Results: </strong>This meta-analysis included five studies on PLT use for PCL reconstruction: (1) Four prospective studies with 104 patients; and (2) One retrospective study with 18 patients. Most studies followed up participants for 24 months, while one had a shorter follow-up of 18 months. Lysholm and modified cincinnati scores improved by pooled means of 32.2 (95%CI: 29.3-35.1, <i>I</i> <sup>2</sup> = 0%) and 31.1 (95%CI: 27.98-34.22, <i>I</i> <sup>2</sup> = 0%), respectively. Postoperative American Orthopaedic Foot and Ankle Society and Foot and Ankle Disability Index scores were 94.5 (<i>I</i> <sup>2</sup> = 61.5%) and 94.5 (<i>I</i> <sup>2</sup> = 80.09%), respectively. Single-hop and triple-hop test scores averaged 95.5 (95%CI: 94.5-96.5) and 92.4 (95%CI: 91.9-92.9) respectively. No significant differences were observed in thigh circumference at 10 cm and 20 cm between the injured and healthy sides.</p><p><strong>Conclusion: </strong>Evidence supports PLT autografts for PCL reconstruction, improving knee function and patient outcomes. Larger randomized trials are needed to confirm efficacy and compare graft options.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 3","pages":"101841"},"PeriodicalIF":2.0000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924028/pdf/","citationCount":"0","resultStr":"{\"title\":\"Functional outcomes of peroneus longus tendon autograft for posterior cruciate ligament reconstruction: A meta-analysis.\",\"authors\":\"Ahmed Mohamed Yousif Mohamed, Monzir Salih, Mugahid Mohamed, Ayman E Abbas, Maysara Elsiddig, Mazin Abdelsalam, Basil Elhag, Nujud Mohamed, Souzan Ahmed, Deena Omar, Samah Ahmed, Duaa Mohamed\",\"doi\":\"10.5312/wjo.v16.i3.101841\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The posterior cruciate ligament (PCL) is vital for regulating posterior tibial translation in relation to the femur, which is critical for knee stability. 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Discrepancies were resolved by consensus, with any remaining disagreements being arbitrated by a third author.</p><p><strong>Results: </strong>This meta-analysis included five studies on PLT use for PCL reconstruction: (1) Four prospective studies with 104 patients; and (2) One retrospective study with 18 patients. Most studies followed up participants for 24 months, while one had a shorter follow-up of 18 months. Lysholm and modified cincinnati scores improved by pooled means of 32.2 (95%CI: 29.3-35.1, <i>I</i> <sup>2</sup> = 0%) and 31.1 (95%CI: 27.98-34.22, <i>I</i> <sup>2</sup> = 0%), respectively. Postoperative American Orthopaedic Foot and Ankle Society and Foot and Ankle Disability Index scores were 94.5 (<i>I</i> <sup>2</sup> = 61.5%) and 94.5 (<i>I</i> <sup>2</sup> = 80.09%), respectively. Single-hop and triple-hop test scores averaged 95.5 (95%CI: 94.5-96.5) and 92.4 (95%CI: 91.9-92.9) respectively. 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引用次数: 0
摘要
背景：后交叉韧带（PCL）对于调节胫骨后移位与股骨的关系至关重要，这对膝关节的稳定性至关重要。在膝关节损伤中，PCL撕裂很少是孤立的；然而，PCL的缺失导致膝关节运动异常，这可能导致其他韧带的损伤。PCL重建的理想肌腱来源仍然是一个争论的主题。目的：评价腓骨长肌腱（PLT）在PCL重建中的应用效果。方法：综合检索相关的随机对照试验和回顾性观察性研究，讨论PLT用于PCL重建的结果。截至2024年8月发表的研究在多个数据库中进行了检索，包括PubMed， EMBASE, Scopus, Web of Science， Cochrane Library和谷歌Scholar。所选文章的全文被检索、审查，并由研究者独立评估。差异以协商一致方式解决，其余分歧由第三作者仲裁。结果：本荟萃分析包括5项关于PLT用于PCL重建的研究：(1)4项前瞻性研究，共104例患者；(2) 18例患者的回顾性研究。大多数研究对参与者进行了24个月的随访，而一项研究的随访时间较短，为18个月。Lysholm和改良的cincinnati评分分别提高了32.2 （95%CI: 29.3-35.1, i2 = 0%）和31.1 （95%CI: 27.98-34.22, i2 = 0%）。术后American Orthopaedic Foot and Ankle Society和Foot and Ankle Disability Index评分分别为94.5分（I 2 = 61.5%）和94.5分（I 2 = 80.09%）。单跳和三跳测试成绩平均分别为95.5 （95%CI: 94.5-96.5）和92.4 （95%CI: 91.9-92.9）。损伤侧和健康侧的大腿围在10 cm和20 cm处无显著差异。结论：有证据支持自体PLT移植重建PCL，改善膝关节功能和患者预后。需要更大规模的随机试验来确认疗效并比较移植选择。
Functional outcomes of peroneus longus tendon autograft for posterior cruciate ligament reconstruction: A meta-analysis.
Background: The posterior cruciate ligament (PCL) is vital for regulating posterior tibial translation in relation to the femur, which is critical for knee stability. PCL tears are infrequently isolated in knee injuries; however, the absence of the PCL results in abnormal knee kinematics, which may cause injuries to other ligaments. The ideal tendon source for PCL reconstruction is still a subject of debate.
Aim: To evaluate the results of employing the peroneus longus tendon (PLT) in PCL reconstruction.
Methods: A comprehensive search was conducted to identify relevant randomized controlled trials and retrospective observational studies discussing the outcomes of using the PLT for PCL reconstruction. Studies published up to August 2024 were searched across multiple databases, including PubMed, EMBASE, Scopus, Web of Science, Cochrane Library, and Google Scholar. Full texts of the selected articles were retrieved, reviewed, and independently assessed by the investigators. Discrepancies were resolved by consensus, with any remaining disagreements being arbitrated by a third author.
Results: This meta-analysis included five studies on PLT use for PCL reconstruction: (1) Four prospective studies with 104 patients; and (2) One retrospective study with 18 patients. Most studies followed up participants for 24 months, while one had a shorter follow-up of 18 months. Lysholm and modified cincinnati scores improved by pooled means of 32.2 (95%CI: 29.3-35.1, I2 = 0%) and 31.1 (95%CI: 27.98-34.22, I2 = 0%), respectively. Postoperative American Orthopaedic Foot and Ankle Society and Foot and Ankle Disability Index scores were 94.5 (I2 = 61.5%) and 94.5 (I2 = 80.09%), respectively. Single-hop and triple-hop test scores averaged 95.5 (95%CI: 94.5-96.5) and 92.4 (95%CI: 91.9-92.9) respectively. No significant differences were observed in thigh circumference at 10 cm and 20 cm between the injured and healthy sides.
Conclusion: Evidence supports PLT autografts for PCL reconstruction, improving knee function and patient outcomes. Larger randomized trials are needed to confirm efficacy and compare graft options.
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