Evidence map›Paper›PMID 42428357›Full record

ArticleJournal of orthopaedic case reports2026

Clinical and Donor-site Outcomes of Full-thickness Peroneus Longus Autograft in Arthroscopic Anterior Cruciate Ligament Reconstruction: A Prospective Indian Cohort Study.

Neeraj Mittal, Gagan Khanna, Rajan Sharma, Prabhjot Kaur Gill

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Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Neeraj MittalDepartment of Orthopaedics, Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Guru Ram Das University of Health Sciences, Sri Amritsar, Punjab,India.
Gagan KhannaDepartment of Orthopaedics, Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Guru Ram Das University of Health Sciences, Sri Amritsar, Punjab,India.
Rajan SharmaDepartment of Orthopaedics, Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Guru Ram Das University of Health Sciences, Sri Amritsar, Punjab,India.
Prabhjot Kaur GillDepartment of Genetics, Centre for Advanced Research and Development, Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Guru Ram Das University of Health Sciences, Sri Amritsar, Punjab, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: While hamstring and patellar tendon autografts are traditional choices for anterior cruciate ligament (ACL) reconstruction, concerns regarding donor-site morbidity and graft diameter persist. The peroneus longus tendon (PLT) has emerged as a promising alternative with excellent biomechanical properties and minimal knee-specific morbidity. Objectives: To prospectively evaluate knee functional outcomes, clinical stability, and donor-site morbidity following arthroscopic ACL reconstruction using a full-thickness tripled PLT autograft in an Indian patient cohort. Materials and Methods: A prospective interventional study was conducted on 30 patients (mean age 18-50 years) with ACL insufficiency. All underwent arthroscopic reconstruction using a triple PLT autograft. Clinical stability was assessed through Lachman and Pivot Shift tests. Functional outcomes were measured using the Lysholm Knee Score, while donor-site morbidity was evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) and Foot and Ankle Disability Index (FADI) scores over a 6-month follow-up period. Results: The mean graft diameter was 8.7 ± 0.6 mm. The mean Lysholm score significantly improved from 54.6 ± 8.1 preoperatively to 91.3 ± 5.4 at 6 months (P < 0.001). Post-operative stability was restored in over 90% of cases. Ankle function remained stable, with mean AOFAS (98.0 ± 2.3) and FADI (99.0 ± 1.2) scores showing no significant decline from baseline. No graft failures or major ankle complications were recorded. Conclusion: The full-thickness tripled PLT autograft is a safe, robust, and effective alternative for ACL reconstruction. It provides effective graft diameter and excellent functional recovery with negligible donor-site morbidity, making it particularly suitable for active young adults.

Indexed as

Anterior cruciate ligament reconstructionautograftdonor-site morbidityLysholm scoreperoneus longus tendon

Identifiers

PMID42428357
PMCPMC13348485

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