Abstract
Objective: To compare the outcome and donor-site
morbidity between peroneus longus tendon (PLT) and
hamstring tendon in anterior cruciate ligament (ACL)
reconstruction.
Methodology: A total of 80 cases aged 15 – 40 years
undergoing single-bundle ACL reconstruction
fromJanuary 2019 to December 2020 were enrolled.
All were randomly assigned to either hamstring tendon
group or PLT group. Functional scoring as
“International Knee Documentation Committee
(IKDC)”, “Modified Cincinnati” and “Lysholm
scores” were noted prior to surgery and at the end of
follow-up period of 9-months after surgery. Donor-site
morbidity was also assessed.
Results: Out of 80 cases, there were 66 (82.5%) were
male. Mean age in hamstring group was 27.4 + 9.1
versus 25.8 + 8.6 years in PLT group (p = 0.4214).
Thigh circumference between operated and sound leg
was significantly high in hamstring group (p <
0.0001). None of the patient in PLT group had any
other donor-site morbidity while 6 (16.7%) patients in
hamstring group were found to have anterior kneeling
pain.
Conclusion: Peroneus longus as graft choice in
isolated ACL injuries needs further encouragement, as
it was found to have less donor-site related morbidities
especially among individuals who commonly kneel
during their daily activities.
Keywords: Anterior cruciate ligament reconstruction,
donor-site morbidity, peroneus longus tendon.
