Acta Chir Orthop Traumatol Cech. 2024; 91(3):170-174 | DOI: 10.55095/achot2024/023

Donor Site Morbidity after Removal of Full-Thickness Peroneus Longus Tendon Graft for Anterior Cruciate Ligament (ACL) Reconstruction: 4-Year Follow-up

D. ERTILAV1, E. ERTILAV2, G. N. DIRLIK3, K. BARUT4
1 Biga State Hospital, Department of Orthopedics and Traumatology, Çanakkale, Turkey
2 Adnan Menderes University Medical Faculty, Department of Algology (Neurology), Aydin, Turkey
3 Alanya Training and Research Hospital, Department of Orthopedics and Traumatology, Antalya, Turkey
4 Izmir Emot Private Hospital, Department of Physical Medicine and Rehabilitation, İzmir, Turkey

Puspose of the study
Many studies have investigated the efficacy of peroneus longus tendon (PLT) in anterior cruciate ligament (ACL) reconstruction, and donor site morbidity has not been adequately studied.
Material and Methods
Fifty patients who underwent ACL reconstruction using PLT were included. Ankle strengths of the patients evaluated with an analog dynamometer. Ankle range of motion (ROM) was measured with a smart phone inclonometer application.
Results
There was no significant difference between the postoperative ankle strength(eversion, plantar flexion) in the donor area and the preoperative period (p=0.6 and p=0.7, respectively) and contralateral healthy side (p=0.6, p=0.6, respectively). Ankle ROM angles (dorsiflexion, plantar flexion, eversion, inversion) were significantly lower in the post-operative period compared to the preoperative period and contralateral healthy side (p<0.05, p<0.05, p<0.05, p<0.05, respectively). There was no significant difference between pre-operative and post-operative AOFAS scores (p=0.2).
Conclusions
Although PLT can affect ROM angles, it is a promising alternative for ACL reconstructions without causing functional morbidity.

Keywords: peroneus longus tendon, autograft, anterior cruciate ligament reconstruction, donor site morbidity.

Received: July 6, 2023; Revised: July 6, 2023; Accepted: July 13, 2024; Published: July 19, 2024  Show citation

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ERTILAV D, ERTILAV E, DIRLIK GN, BARUT K. Donor Site Morbidity after Removal of Full-Thickness Peroneus Longus Tendon Graft for Anterior Cruciate Ligament (ACL) Reconstruction: 4-Year Follow-up. Acta Chir Orthop Traumatol Cech. 2024;91(3):170-174. doi: 10.55095/achot2024/023. PubMed PMID: 38963896.
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