Arthroscopic anterior cruciate ligament (ACL) reconstruction is a standard surgical procedure used to treat individuals with ACL injuries, a common type of knee ligament injury.
Over the years, various surgical techniques and graft options have been utilized to improve the outcomes of ACL reconstruction surgeries.
One recent study has shed light on a novel approach that involves supplementing the hamstring graft with the anterior half of the peroneus longus tendon, resulting in improved functional outcomes for patients undergoing ACL reconstruction.
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The study, published in the journal Orthopedic Journal of Sports Medicine, was conducted by a team of researchers from multiple institutions in India.
The study aimed to evaluate the functional outcomes of ACL reconstruction surgeries using the hamstring graft supplemented with the anterior half of the peroneus longus tendon, compared to the traditional hamstring graft alone.
The peroneus longus tendon is a long tendon that runs along the outside of the lower leg and is responsible for the eversion of the foot. It is relatively underutilized in ACL reconstruction surgeries, and its functional potential as a graft option has been largely unexplored.
However, recent studies have suggested that the peroneus longus tendon may have favorable properties for use as a graft in ACL reconstruction, including its strength and biomechanical characteristics.
Eighty patients in all participated in this trial. Undergoing arthroscopic ACL reconstruction were enrolled and divided into two groups:
The hamstring graft group (40 patients) and the hamstring graft supplemented with the anterior half of the peroneus longus tendon group (40 patients). All surgeries were performed using a standardized technique by a single experienced surgeon.
The functional outcomes of the patients were evaluated using various standardized outcome measures, including the International Knee Documentation Committee (IKDC) score, Lysholm score, Tegner activity score, and Lachman test at preoperative, postoperative six months, and postoperative one-year time points.
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The study results showed that patients in the group that received the hamstring graft supplemented with the anterior half of the peroneus longus tendon had significantly better functional outcomes than the traditional hamstring graft group.
The IKDC score, Lysholm score, and Tegner activity score were all significantly higher in the group with the supplemented graft at both postoperative six months and one-year time points.
Additionally, the Lachman test, which is a clinical test used to assess the stability of the ACL, showed significantly better results in the group with the supplemented graft, indicating improved stability of the reconstructed knee.
This study’s findings suggest that supplementing the hamstring graft with the anterior half of the peroneus longus tendon in ACL reconstruction may lead to improved functional outcomes for patients.
The peroneus longus tendon may contribute to enhanced stability of the reconstructed knee, resulting in better overall knee function and performance.
In conclusion, supplementing the hamstring graft with the anterior half of the peroneus longus tendon in arthroscopic ACL reconstruction appears to be a promising technique that may improve patient functional outcomes
.Additional study with more significant sample numbers and extended follow-up periods is needed to confirm these findings and determine the long-term outcomes of this technique.
Nonetheless, this study provides valuable insights into a potential new approach in ACL reconstruction surgeries that may lead to improved patient outcomes and better quality of life for individuals undergoing ACL reconstruction.
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