Harvesting Peroneus Longus Tendon for ACL Reconstruction: Impact on Ankle Functions and Biomechanics?

A third search to look into the associated donor site complications with keywords: "peroneus" and "longus" and "grafts" or "grafted" or "graftings" or "grafting" or "complications" yielded only 10 hits. Selection of Studies (Inclusion and Exclusion Criteria)Studies of any design in the English language discussing the usage and impact of PLT autografts for ACL reconstructions on ankle IntroductIonAnterior cruciate ligament (ACL) reconstruction is one of the most commonly performed orthopedic procedures in the United States of America, with 100,000 to 175,000 annual reconstructions. 1 The two most common autografts used for ACL reconstruction are bone patellar tendon-bone and hamstring autograft.Considerable attention has recently been focused on using peroneus longus tendon (PLT) autograft as an alternative to conventional autograft in the field of ACL reconstruction.Previously, the PLT autografts have been used in the reconstruction of acromioclavicular ligament, 2 deltoid ligament, 3 spring ligament, 4 and medial patellofemoral ligament.5 However, questions remain as to whether harvesting PLT would result in donor site morbidity like ankle instability, loss of eversion power and obliteration of transverse arch.There is a lack of comprehensive donor-site evaluation after PLT harvest, which is why PLT is not preferred.6 Therefore, the purpose of this article was to review existing evidence concerning the effect of harvesting PLT on ankle functions and biomechanics. MaterIals a n d Methods Search StrategyA PubMed search was performed on 21st May 2023 with mesh terms "peroneus" and "longus" and "grafts" or "grafted" or "graftings" or "grafts" (all fields) or "graft" (all fields).This yielded only 176 hits.Further search specifically for ACL reconstruction with keywords; "peroneus" and "longus" and "grafts" or "grafted" or "graftings" or "grafting" or "grafts" or "graft" and "ACL" or "reconstruction" (all fields) or "reconstruction" or "reconstructs" yielded only 52 hits.