Comparative study of peroneus longus tendon versus hamstring tendon graft in Arthroscopic reconstruction of anterior cruciate ligament.

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