PDF(Pubmed)
Abstract：
OBJECTIVE: In anterior cruciate ligament reconstruction, the strength of the graft was found to be unsatisfactory usually the anterior half of the peroneus longus tendon was taken for supplementation, but the effect on foot and ankle function and gait in the donor area is unclear. This study aims to explore the changes in the ankle and gait after using the harvested anterior half of the peroneus longus tendon as a reconstruction graft for the anterior cruciate ligament.
METHODS: A total of 20 patients, 6 males and 14 females, aged 18 to 44 years, with unilateral anterior cruciate ligament injuries, underwent reconstruction using the harvested anterior half of the peroneus longus tendon as a graft between June 2021 and December 2021. The part on which the anterior half of the peroneus longus tendon was harvested was considered the experimental group, while the contralateral foot was the control group. At the 6-month follow-up, the Lysholm knee score, AOFAS ankle score, and gait-related data (foot length, arch index, arch volume, arch volume index, and gait cycle parameters: percentage of time in each gait phase, step frequency, step length, foot strike angle, and push-off angle) were assessed using a 3D foot scanner and wearable sensors for both groups.
RESULTS: All 20 patients completed the six-month follow-up. There were no statistically significant differences between the experimental and control groups regarding knee scores, ankle scores, foot length, arch index, arch volume, arch volume index, step frequency, and step length (P > 0.05). However, there were statistically significant differences between the experimental and control groups in terms of the gait cycle parameters, including the percentage of time in the stance, mid-stance, and push-off phases, as well as foot strike angle and push-off angle (P < 0.05).
CONCLUSIONS: Through our study of the surgical experimental group we have shown that harvesting the anterior half of the peroneus longus tendon does not affect foot morphology and gait parameters; however, it does impact the gait cycle.
METHODS: A total of 20 patients, 6 males and 14 females, aged 18 to 44 years, with unilateral anterior cruciate ligament injuries, underwent reconstruction using the harvested anterior half of the peroneus longus tendon as a graft between June 2021 and December 2021. The part on which the anterior half of the peroneus longus tendon was harvested was considered the experimental group, while the contralateral foot was the control group. At the 6-month follow-up, the Lysholm knee score, AOFAS ankle score, and gait-related data (foot length, arch index, arch volume, arch volume index, and gait cycle parameters: percentage of time in each gait phase, step frequency, step length, foot strike angle, and push-off angle) were assessed using a 3D foot scanner and wearable sensors for both groups.
RESULTS: All 20 patients completed the six-month follow-up. There were no statistically significant differences between the experimental and control groups regarding knee scores, ankle scores, foot length, arch index, arch volume, arch volume index, step frequency, and step length (P > 0.05). However, there were statistically significant differences between the experimental and control groups in terms of the gait cycle parameters, including the percentage of time in the stance, mid-stance, and push-off phases, as well as foot strike angle and push-off angle (P < 0.05).
CONCLUSIONS: Through our study of the surgical experimental group we have shown that harvesting the anterior half of the peroneus longus tendon does not affect foot morphology and gait parameters; however, it does impact the gait cycle.
摘要：
目的：在前交叉韧带重建中，发现移植物的强度不令人满意，通常是腓骨长肌腱的前半部被用于补充，但对足踝功能和步态的影响在供区尚不清楚.本研究旨在探讨使用收获的腓骨长肌腱前半部作为前交叉韧带重建移植物后，踝关节和步态的变化。
方法：共20例患者，6男14女,18至44岁，单侧前交叉韧带损伤,在2021年6月至2021年12月期间，使用收获的腓骨长肌腱前半部作为移植物进行了重建。切除腓骨长腱前半部的部分被认为是实验组，而对侧足为对照组。在6个月的随访中，Lysholm膝盖得分,AOFAS脚踝得分,和步态相关数据(脚长，拱形指数，足弓体积,足弓体积指数,和步态周期参数：每个步态阶段的时间百分比，步进频率,步长,脚撞击角,和推离角）使用3D足部扫描仪和两组的可穿戴传感器进行评估。
结果：所有20例患者均完成了6个月的随访。在膝关节评分方面，实验组和对照组之间没有统计学上的显着差异。脚踝得分,脚的长度,拱形指数，足弓体积,足弓体积指数,步进频率,和步长(P>0.05)。然而,在步态周期参数方面，实验组和对照组之间存在统计学上的显着差异，包括在立场上的时间百分比，中间立场，和推出阶段，以及脚撞击角和推离角（P<0.05）。
结论：通过我们对手术实验组的研究，我们表明，采集腓骨长肌腱的前半部不影响足部形态和步态参数；然而，它确实会影响步态周期。
方法：共20例患者，6男14女,18至44岁，单侧前交叉韧带损伤,在2021年6月至2021年12月期间，使用收获的腓骨长肌腱前半部作为移植物进行了重建。切除腓骨长腱前半部的部分被认为是实验组，而对侧足为对照组。在6个月的随访中，Lysholm膝盖得分,AOFAS脚踝得分,和步态相关数据(脚长，拱形指数，足弓体积,足弓体积指数,和步态周期参数：每个步态阶段的时间百分比，步进频率,步长,脚撞击角,和推离角）使用3D足部扫描仪和两组的可穿戴传感器进行评估。
结果：所有20例患者均完成了6个月的随访。在膝关节评分方面，实验组和对照组之间没有统计学上的显着差异。脚踝得分,脚的长度,拱形指数，足弓体积,足弓体积指数,步进频率,和步长(P>0.05)。然而,在步态周期参数方面，实验组和对照组之间存在统计学上的显着差异，包括在立场上的时间百分比，中间立场，和推出阶段，以及脚撞击角和推离角（P<0.05）。
结论：通过我们对手术实验组的研究，我们表明，采集腓骨长肌腱的前半部不影响足部形态和步态参数；然而，它确实会影响步态周期。
