Abstract:
Background: the anterior cruciate ligament (acl) is crucial for knee joint stability, and
its rupture is common often resulting from sports or road traffic accidents. acl
reconstruction using hamstring and peroneus longus graft is commonly utilized,
yielding positive clinical outcomes. this study aims to evaluatate comparative study of
peroneus longus tendon versus hamstring tendon graft in arthroscopic reconstruction
of anterior cruciate ligament .”
Material and methods: A prospective clinical study was conducted from january 2023
to january 2025 at Shri B.M Patil Medical College, Hospital and Research Centre,
Vijayapura. The study included 24 patients with ACL tear .12 patient operated with
arthroscopic ACL reconstruction with peroneus longus graft. And other 12 patient
operated with Hamstring tendon graft. Comparative study were assessed using the
Lysholm and International Knee Documentation Committee (IKDC) scores
preoperatively and at 6 and 12 months postoperatively.
Results: Significant improvements were observed in both Lysholm and IKDC scores
at 6 and 12 months postoperatively (p < 0.05). Ninety-five percent of patients resumed
their pre-injury level of activity. With no instances of tunnel widening and a low
prevalence of postoperative anterior joint laxity, the study found minimal comlpications
Conclusion: The current study showed that peroneus longus tendon autograft might be
regarded as a safe and useful autograft source for arthroscopic anterior cruciate
ligament reconstruction. With regard to its strength, greater graft diameter, satisfactory
ankle function, and avoidance of potential complications of hamstring autograft
obtained from the knee region
• Peroneus longus is superficial in location and easy to harvest compare to
hamstring tendon
