Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YU Hao , DENG Wanqiu , SANG Peng ,  LIU Yi

Department of Joint Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China;

Corresponding author：

LIU Yi, Email: 13308529536@163.com

Keywords：

Peroneus longus tendon; arthroscopy; anterior cruciate ligament; ligament reconstruction

DOI：

10.7507/1002-1892.201911145

Video：

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Objective To investigate the effectiveness of anterior cruciate ligament (ACL) reconstruction with the autologous ipsilateral peroneus longus tendon (PLT) under arthroscopy.Methods A retrospective study was conducted on 35 patients with ACL rupture who underwent ACL reconstruction with autologous ipsilateral PLT under arthroscopy between October 2017 and October 2018. There were 19 males and 16 females with an average age of 43.4 years (range, 18-60 years), with 20 cases of left knee and 15 cases of right knee. The causes of injury included traffic accident in 14 cases, falling injury in 13 cases, and sports injury in 8 cases. The time from injury to operation ranged from 3 to 9 days (mean, 4.7 days). The patients suffered from swelling, pain, and limited mobility of knee joint before operation. The anterior drawer test, Lachman test, and pivot-shift test were positive before operation, whereas MRI was taken to confirm the ACL rupture. After operation, the patients were followed up every 3 months until the knee joint’s function returned to normal. MRI and X-ray films were used to observe the tendon-bone healing as well as the position of Endobutton suspension plate and hollow nail. The anterior drawer test, Lachman test, and pivot-shift test were conducted to observe the improvement of knee joint mobility. The functional improvements were evaluated by the International Knee Documents Committee (IKDC) score, Lysholm score, knee injury and osteoarthritis (KOOS) score.Results All the 35 patients were followed up 12-18 months, with an average of 14.2 months. The incisions healed by first intention, and no complications such as infection, joint stiffness, and rerupture occurred. Postoperative anterior drawer test, Lachman test, and pivot-shift test turned to be negative of all patients. MRI showed that the ACL was continuous, and the tendon-bone in the distal femur tunnel and proximal tibia tunnel recovered well after operation. X-ray films showed that the positions of Endobutton suspension plate and hollow nail were stable. The IKDC, Lysholm, and KOOS scores at 3, 6, and 12 months after operation were significantly improved when compared with those before operation, and the scores were further improved with time after operation (P<0.05).Conclusion For patients with ACL rupture, ACL reconstruction with the autologous ipsilateral PLT under arthroscopy has satisfactory effectiveness of quick recovery, good function, and great stability.

Citation： YU Hao, DENG Wanqiu, SANG Peng, LIU Yi. Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(7): 843-847. doi: 10.7507/1002-1892.201911145 Copy

1.	陈英华, 韦庆军, 姚军. 重建膝前交叉韧带取自体腘绳肌肌腱安全区域的临床解剖学参数. 中国组织工程研究, 2019, 23(30): 4822-4827.
2.	Seil R, Mouton C, Coquay J, et al. Ramp lesions associated with ACL injuries are more likely to be present in contact injuries and complete ACL tears. Knee Surg Sports Traumatol Arthrosc, 2018, 26(4): 1080-1085.
3.	Ahmed I, Salmon L, Roe J, et al. The long-term clinical and radiological outcomes in patients who suffer recurrent injuries to the anterior cruciate ligament after reconstruction. Bone Joint J, 2017, 99-B(3): 337-343.
4.	Cournapeau J, Klouche S, Hardy P. Material costs of anterior cruciate ligament reconstruction with hamstring tendons by two different techniques. Orthop Traumatol Surg Res, 2013, 99(2): 196-201.
5.	Chen W, Li H, Chen Y, et al. Bone-patellar tendon-bone autografts versus hamstring autografts using the same suspensory fixations in ACL reconstruction: A systematic review and meta-analysis. Orthop J Sports Med, 2019, 7(11): 2325967119885314.
6.	谭红略, 代朋乙, 袁延浩. 关节镜下单束六股自体腘绳肌腱联合 TightRope 钢板解剖重建前交叉韧带的近期疗效. 中国修复重建外科杂志, 2016, 30(6): 695-699.
7.	Getgood AMJ, Bryant DM, Litchfield R, et al. Lateral extra-articular tenodesis reduces failure of hamstring tendon autograft anterior cruciate ligament reconstruction: 2-year outcomes from the STABILITY study randomized clinical trial. Am J Sports Med, 2020, 48(2): 285-297.
8.	Birchmeier T, Lisee C, Kane K, et al. Quadriceps muscle size following ACL injury and reconstruction: A systematic review. J Orthop Res, 2020, 38(3): 598-608.
9.	Haviv B, Yassin M, Rath E, et al. Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong), 2017, 25(1): 2309499016684988.
10.	Dhammi IK, Rehan-UI-Haq, Kumar S. Graft choices for anterior cruciate ligament reconstruction. Indian J Orthop, 2014, 49(2): 127-128.
11.	Nazem K, Barzegar M, Hosseini A, et al. Can we use peroneus longus in addition to hamstring tendons for anterior cruciate ligament reconstruction? Adv Biomed Res, 2014, 3: 115.
12.	Bi M, Zhao C, Zhang S, et al. All-inside single-bundle reconstruction of the anterior cruciate ligament with the anterior half of the peroneus longus tendon compared to the semitendinosus tendon: A two-year follow-up study. J Knee Surg, 2018, 31(10): 1022-1030.
13.	张磊, 周鑫, 祁冀, 等. 取自体同侧 1/2 腓骨长肌肌腱重建膝关节前交叉韧带. 中国组织工程研究, 2017, 21(24): 3815-3820.
14.	Liu CT, Lu YC, Huang CH. Half-peroneus-longus-tendon graft augmentation for unqualified hamstring tendon graft of anterior cruciate ligament reconstruction. J Orthop Sci, 2015, 20(5): 854-860.
15.	Shi FD, Hess DE, Zuo JZ, et al. Peroneus longus tendon autograft is a safe and effective alternative for anterior cruciate ligament reconstruction. J Knee Surg, 2019, 32(8): 804-811.
16.	Kerimoğlu S, Aynaci O, Saraçoğlu M, et al. Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta Orthop Traumatol Turc, 2008, 42(1): 38-43.
17.	Hughes JD, Burnham JM, Hirsh A, et al. Comparison of short-term biodex results after anatomic anterior cruciate ligament reconstruction among 3 autografts. Orthop J Sports Med, 2019, 7(5): 2325967119847630.
18.	方善鸿, 王一腾, 白茗, 等. 自体骨髌腱骨和腘绳肌腱重建前交叉韧带疗效的 Meta 分析. 中国医科大学学报, 2010, 39(11): 953-956.
19.	Rousseau R, Labruyere C, Kajetanek C, et al. Complications after anterior cruciate ligament reconstruction and their relation to the type of graft: A prospective study of 958 cases. Am J Sports Med, 2019, 47(11): 2543-2549.
20.	Nelissen E, van Arkel ER, Hazelbag HM. Traumatic neuroma of the infrapatellar branch of the saphenous nerve after hamstring harvesting. J Knee Surg, 2010, 23(4): 233-236.
21.	Cristiani R, Sarakatsianos V, Engström B, et al. Increased knee laxity with hamstring tendon autograft compared to patellar tendon autograft: a cohort study of 5462 patients with primary anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc, 2019, 27(2): 381-388.
22.	Ponzo A, Monaco E, Basiglini L, et al. Long-term results of anterior cruciate ligament reconstruction using hamstring grafts and the outside-in technique: A comparison between 5- and 15-year follow-up. Orthop J Sports Med, 2018, 6(8): 2325967118792263.
23.	Balki S, Göktas HE. Short-term effects of the Kinesio Taping^® on early postoperative hip muscle weakness in male patients with hamstring autograft or allograft anterior cruciate ligament reconstruction. J Sport Rehabil, 2019, 28(4): 311-317.
24.	吴冰, 丘志河, 李盛, 等. 自体腘绳肌腱移植重建前交叉韧带后移植物的组织学研究. 中国修复重建外科杂志, 2018, 32(7): 873-879.
25.	Palmer JE, Russell JP, Grieshober J, et al. A biomechanical comparison of allograft tendons for ligament reconstruction. Am J Sports Med, 2017, 45(3): 701-707.
26.	Song X, Li Q, Wu Z, et al. Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction. Medicine (Baltimore), 2018, 97(44): e12672.
27.	Angthong C, Chernchujit B, Apivatgaroon A, et al. The anterior cruciate ligament reconstruction with the peroneus longus tendon: A biomechanical and clinical evaluation of the donor ankle morbidity. J Med Assoc Thai, 2015, 98(6): 555-560.
28.	Rhatomy S, Asikin AIZ, Wardani AE, et al. Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2019, 27(11): 3552-3559.
29.	Rhatomy S, Wicaksono FH, Soekarno NR, et al. Eversion and first ray plantarflexion muscle strength in anterior cruciate ligament reconstruction using a peroneus longus tendon graft. Orthop J Sports Med, 2019, 7(9): 2325967119872462.

1. 陈英华, 韦庆军, 姚军. 重建膝前交叉韧带取自体腘绳肌肌腱安全区域的临床解剖学参数. 中国组织工程研究, 2019, 23(30): 4822-4827.
2. Seil R, Mouton C, Coquay J, et al. Ramp lesions associated with ACL injuries are more likely to be present in contact injuries and complete ACL tears. Knee Surg Sports Traumatol Arthrosc, 2018, 26(4): 1080-1085.
3. Ahmed I, Salmon L, Roe J, et al. The long-term clinical and radiological outcomes in patients who suffer recurrent injuries to the anterior cruciate ligament after reconstruction. Bone Joint J, 2017, 99-B(3): 337-343.
4. Cournapeau J, Klouche S, Hardy P. Material costs of anterior cruciate ligament reconstruction with hamstring tendons by two different techniques. Orthop Traumatol Surg Res, 2013, 99(2): 196-201.
5. Chen W, Li H, Chen Y, et al. Bone-patellar tendon-bone autografts versus hamstring autografts using the same suspensory fixations in ACL reconstruction: A systematic review and meta-analysis. Orthop J Sports Med, 2019, 7(11): 2325967119885314.
6. 谭红略, 代朋乙, 袁延浩. 关节镜下单束六股自体腘绳肌腱联合 TightRope 钢板解剖重建前交叉韧带的近期疗效. 中国修复重建外科杂志, 2016, 30(6): 695-699.
7. Getgood AMJ, Bryant DM, Litchfield R, et al. Lateral extra-articular tenodesis reduces failure of hamstring tendon autograft anterior cruciate ligament reconstruction: 2-year outcomes from the STABILITY study randomized clinical trial. Am J Sports Med, 2020, 48(2): 285-297.
8. Birchmeier T, Lisee C, Kane K, et al. Quadriceps muscle size following ACL injury and reconstruction: A systematic review. J Orthop Res, 2020, 38(3): 598-608.
9. Haviv B, Yassin M, Rath E, et al. Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong), 2017, 25(1): 2309499016684988.
10. Dhammi IK, Rehan-UI-Haq, Kumar S. Graft choices for anterior cruciate ligament reconstruction. Indian J Orthop, 2014, 49(2): 127-128.
11. Nazem K, Barzegar M, Hosseini A, et al. Can we use peroneus longus in addition to hamstring tendons for anterior cruciate ligament reconstruction? Adv Biomed Res, 2014, 3: 115.
12. Bi M, Zhao C, Zhang S, et al. All-inside single-bundle reconstruction of the anterior cruciate ligament with the anterior half of the peroneus longus tendon compared to the semitendinosus tendon: A two-year follow-up study. J Knee Surg, 2018, 31(10): 1022-1030.
13. 张磊, 周鑫, 祁冀, 等. 取自体同侧 1/2 腓骨长肌肌腱重建膝关节前交叉韧带. 中国组织工程研究, 2017, 21(24): 3815-3820.
14. Liu CT, Lu YC, Huang CH. Half-peroneus-longus-tendon graft augmentation for unqualified hamstring tendon graft of anterior cruciate ligament reconstruction. J Orthop Sci, 2015, 20(5): 854-860.
15. Shi FD, Hess DE, Zuo JZ, et al. Peroneus longus tendon autograft is a safe and effective alternative for anterior cruciate ligament reconstruction. J Knee Surg, 2019, 32(8): 804-811.
16. Kerimoğlu S, Aynaci O, Saraçoğlu M, et al. Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta Orthop Traumatol Turc, 2008, 42(1): 38-43.
17. Hughes JD, Burnham JM, Hirsh A, et al. Comparison of short-term biodex results after anatomic anterior cruciate ligament reconstruction among 3 autografts. Orthop J Sports Med, 2019, 7(5): 2325967119847630.
18. 方善鸿, 王一腾, 白茗, 等. 自体骨髌腱骨和腘绳肌腱重建前交叉韧带疗效的 Meta 分析. 中国医科大学学报, 2010, 39(11): 953-956.
19. Rousseau R, Labruyere C, Kajetanek C, et al. Complications after anterior cruciate ligament reconstruction and their relation to the type of graft: A prospective study of 958 cases. Am J Sports Med, 2019, 47(11): 2543-2549.
20. Nelissen E, van Arkel ER, Hazelbag HM. Traumatic neuroma of the infrapatellar branch of the saphenous nerve after hamstring harvesting. J Knee Surg, 2010, 23(4): 233-236.
21. Cristiani R, Sarakatsianos V, Engström B, et al. Increased knee laxity with hamstring tendon autograft compared to patellar tendon autograft: a cohort study of 5462 patients with primary anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc, 2019, 27(2): 381-388.
22. Ponzo A, Monaco E, Basiglini L, et al. Long-term results of anterior cruciate ligament reconstruction using hamstring grafts and the outside-in technique: A comparison between 5- and 15-year follow-up. Orthop J Sports Med, 2018, 6(8): 2325967118792263.
23. Balki S, Göktas HE. Short-term effects of the Kinesio Taping^® on early postoperative hip muscle weakness in male patients with hamstring autograft or allograft anterior cruciate ligament reconstruction. J Sport Rehabil, 2019, 28(4): 311-317.
24. 吴冰, 丘志河, 李盛, 等. 自体腘绳肌腱移植重建前交叉韧带后移植物的组织学研究. 中国修复重建外科杂志, 2018, 32(7): 873-879.
25. Palmer JE, Russell JP, Grieshober J, et al. A biomechanical comparison of allograft tendons for ligament reconstruction. Am J Sports Med, 2017, 45(3): 701-707.
26. Song X, Li Q, Wu Z, et al. Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction. Medicine (Baltimore), 2018, 97(44): e12672.
27. Angthong C, Chernchujit B, Apivatgaroon A, et al. The anterior cruciate ligament reconstruction with the peroneus longus tendon: A biomechanical and clinical evaluation of the donor ankle morbidity. J Med Assoc Thai, 2015, 98(6): 555-560.
28. Rhatomy S, Asikin AIZ, Wardani AE, et al. Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2019, 27(11): 3552-3559.
29. Rhatomy S, Wicaksono FH, Soekarno NR, et al. Eversion and first ray plantarflexion muscle strength in anterior cruciate ligament reconstruction using a peroneus longus tendon graft. Orthop J Sports Med, 2019, 7(9): 2325967119872462.

Chinese Journal of Reparative and Reconstructive Surgery

Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon

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