A PROSPECTIVE STUDY OF ARTHROSCOPIC PRIMARY ACL RECONSTRUCTION WITH IPSILATERAL PERONEUS LONGUS TENDON GRAFT

JAGDEEP SINGH REHNCY; AMANDEEP SINGH BAKSHI; RITANSHU MANGOCH; GIRISH SAHNI; HARRY MEHTA; AKSHAY SETH; HARSH KUMAR; ARVIND KUMAR

doi:10.22159/ijcpr.2025v17i3.55049

Authors

JAGDEEP SINGH REHNCY Government Medical College, Patiala and Punjab, India
AMANDEEP SINGH BAKSHI Government Medical College, Patiala and Punjab, India
RITANSHU MANGOCH Government Medical College, Patiala and Punjab, India
GIRISH SAHNI Government Medical College, Patiala and Punjab, India
HARRY MEHTA Government Medical College, Patiala and Punjab, India
AKSHAY SETH Government Medical College, Patiala and Punjab, India
HARSH KUMAR Government Medical College, Patiala and Punjab, India
ARVIND KUMAR Government Medical College, Patiala and Punjab, India

DOI:

https://doi.org/10.22159/ijcpr.2025v17i3.55049

Keywords:

Anterior cruciate ligament, Peroneus longus tendon, VAS scores, American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, ACL reconstruction

Abstract

Objective: To evaluate the functional viability of PLT for ACL reconstruction while assessing potential impacts on ankle function from the donor site.

Methods: It was a prospective study which included 40 patients with ACL tears who presented to the outpatient department (OPD) and emergency department of Government Medical College, Patiala. All participants underwent ACL reconstruction surgery utilizing a peroneus longus tendon (PLT) autograft via an arthroscopic single-bundle technique. Functional evaluation was done by International Knee Documentation Committee (IKDC) score.

Results: The study involved 40 patients with ACL tears, predominantly young males (mean age 27.85±7.65 y), with 82.50% affected on the right side. The majority of injuries were due to roadside accidents (42.50%) and sports (37.50%). Significant differences in knee flexion were observed between affected (121.27±3.93°) and unaffected sides (124.92±3.51°, p<0.0001). Pre-operative VAS scores reflecting severe pain (7.02±0.92) decreased substantially post-operation to 1.90±0.90 (p<0.00001). Functional outcomes showed significant improvement over time, with no significant difference in ankle eversion between the sides (p = 0.34).

Conclusion: The PLT emerges as a promising autograft option for ACL reconstruction, particularly in multi-ligament injuries and revision cases, delivering excellent clinical outcomes comparable to traditional grafts. The PLT graft effectively restores knee stability while preserving range of motion along with muscle strength in the ipsilateral ankle, highlighting its viability as a suitable alternative with minimal complications and donor site morbidity.

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