The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Autologous hamstring tendon versus peroneus longus tendon for arthroscopic single-bundle anterior cruciate ligament reconstruction

Author : JIN Gang, ZHONG Hai- yan, SHAO Wei, WANG Jun, CHEN Bu- jun, QI Wei, LI Huan- yi, CHEN Yan* .     
Working unit : Department of Traumatic Orthopaedics, The 359 th Hospital of PLA, Zhenjiang 212001, China
Page : 2252-2256.
Key words : arthroscopy, anterior cruciate ligament (ACL) , reconstruction, hamstring tendon, peroneus longus tendon
Abstract: [Objective] To compare the clinical outcomes of autologous hamstring tendon versus peroneus longus tendon for arthroscopic singlebundle anterior cruciate ligament (ACL) reconstruction. [Methods] A retrospective study was conducted on 46 patients who underwent arthroscopic single- bundle ACL reconstruction from July 2014 to December 2017 in our department. Based on the graft applied for ACL reconstruction, 26 patients had autologous hamstring tendon used, while the remaining 20 patients had autologous peroneus longus tendon used. The International Knee Score Committee (IKDC) and Lysholm score,foot and ankle disability index (FADI) and the difference between bilateral thigh circumference were used for evaluation of the clinical outcomes, whereas MRI was taken to assess the continuity of the graft. [Results] All the patients in both groups had operation performed smoothly. There were on significant differences in operation time and ambulation time between them (P> 0.05) . Although the peroneus group had significantly longer total incisions than the hamstring group (P<0.05) , the peroneus group got significantly greater graft in original diameter and length, as well as those parameter after preparation than the hamstring group(P<0.05) . The follow-up period lasted for 12-18 months with an average of (14.93±1.97) months. The IKDC and Lysholm scores in both groups significantly increased at 12 months postoperatively compared those preoperatively (P<0.05) ,nevertheless no statistically significant differences were found between the two groups in aforesaid parameters at any matching time point (P>0.05) . At 12 months after operation,no a significant difference was noted in FADI score of the affected extremity between the two group (P>0.05) , whereas the peroneus group had significant less difference between bilateral thigh circumference than the hamstring group (P<0.05) . In term of MRI evaluation at 12 months after operation, the graft was revealed excellent in 23 and good in 3 of the hamstring group, while excellent in 18 and good in 2 of the peroneus group, which was not statistically significant (P>0.05) , and no intercondylar impingement phenomenon was seen in anyone of both groups.[Conclusion] The autologous peroneus longus tendon for single-bundle ACL reconstruction does achieve satisfactory knee function comparable to that of hamstring autografts at a 1-year follow-up, and has an advantage to obtain a larger diameter and longer graft without ankle function affected remarkably and thigh hypotrophy.
summary:
Autologous hamstring tendon versus peroneus longus tendon for arthroscopic single-bundle anterior cruciate ligament reconstruction   
JIN Gang, ZHONG Hai- yan, SHAO Wei, WANG Jun, CHEN Bu- jun, QI Wei, LI Huan- yi, CHEN Yan* .
Orthop J Chin, 27(24):   2252-2256.