Functional and Clinical Outcome of Anterior Cruciate Ligament Reconstruction Using a Peroneus Longus Graft

Anterior cruciate ligament (ACL) is a strong intra-articular but extra synovial ligament, it is attached anteriorly to the nonarticulating portion of the upper tibial surface in front of the intercondyloid eminence at the anterior attachment of the lateral meniscus. It is directed and backward to attach to the posterior aspect of the inner surface of the lateral condyle of the femur. The anterior cruciate ligament (ACL) is the most frequently injured knee joint ligament, and hence its satisfactory reconstruction is a matter of utmost importance. The use of peroneus longus tendon (PLT) autograft as an alternative to the conventional autograft is a recent development in the eld of ACL reconstruction. A total of 20 cases with ACL injury were enrolled in the study and ACL reconstruction using Peroneus Longus tendon graft. It is a Prospective study of one-year duration. Finally, the functional and clinical outcomes were assessed based on the Lysholm knee score. The donor ankle was assessed using the American Orthopaedic Foot and Ankle Score (AOFAS). The mean Lysholm knee score at the end of 45 days follow-up up was70.1±1.63, at the end of 3 months was 77.4±1.174, at the end of 6 months was 83.5±0.707 and at the end of one year follow up of patient treated with PL tendon graft Lysholm score was 86.1±1.19(Excellent). The Mean AOFAS score was 94±1.60 (at nal follow-up). Peroneus longus tendon provides an excellent option for ACLR and familiarity with its harvest and use would help in managing multi-ligamentous knee injury.