ArticleOrthopadie (Heidelberg, Germany)2026
Knee and ankle functional outcome after anterior cruciate ligament reconstruction with a peroneus longus tendon autograft : A prospective clinical study.
Article in Orthopadie (Heidelberg, Germany), 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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Abstract
backgroundAn entire peroneus longus tendon (PLT) autograft has been introduced as an alternative graft for anterior cruciate ligament (ACL) reconstruction but concerns remain regarding donor-site effects on ankle and foot function.
objectiveThis study evaluated knee outcome, ankle/foot function and footprint changes after ACL reconstruction using the entire peroneus longus autograft.
methodsThis non-randomized controlled clinical trial included 26 male patients (mean age 29.7 ± 5.8 years) with isolated ACL tears who underwent arthroscopic ACL reconstruction using an ipsilateral entire PLT autograft at Ain Shams University Hospitals and Dar Al-Shefa Hospitals. Patients were assessed preoperatively and at 6 months using the Foot Arch Index (FAI) from static footprint analysis, American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Foot and Ankle Disability Index (FADI) and International Knee Documentation Committee (IKDC) score.
resultsThe FAI significantly increased from 0.26 ± 0.05 preoperatively to 0.27 ± 0.04 at 6 months (P = 0.027). Knee outcome improved, with the IKDC increasing from 68 ± 0.5 to 84.0 ± 0 (P = 0.017). Ankle/foot functional scores did not change significantly, with the AOFAS remaining at 98.8 ± 2.31 preoperatively versus 98.8 ± 2.45 postoperatively (P = 1) and the FADI showing no significant difference (99 ± 1.73 vs. 99.3 ± 1.41; P = 0.212).
conclusionReconstruction of the ACL using the entire PLT autograft was associated with improved knee outcome at 6 months without significant deterioration in ankle/foot function, alongside a small but statistically significant increase in FAI.
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