PDF(Pubmed)
Abstract：
UNASSIGNED: There is a paucity of comparative studies on the Peroneus longus tendon versus conventional hamstring autograft use in primary single-bundle ACL reconstruction. To date, there are no studies that reported donor ankle functional outcomes when a peroneus longus graft is harvested without performing a tenodesis to peroneus brevis.
UNASSIGNED: A single-center retrospective comparative study was undertaken to evaluate the functional outcomes (IKDC & Tegner-Lysholm scores) of primary isolated single bundle anatomic ACL Reconstruction with Peroneus Longus tendon (PL group) versus Hamstring (HT group) autografts. Further, an evaluation of donor ankle morbidity using the AOFAS score for the PL group and persistent anteromedial thigh pain and paraesthesia around the knee for the HT group was also performed.
UNASSIGNED: 30 patients were evaluated in each group. The mean graft diameter was 8.61 +/- 0.66mm (HT) & 9.6 +/- 0.84mm (PL) and the mean graft length was 7.39cm (HT) & 7.86cm (PL) respectively. The mean IKDC scores were 58.2 (Pre-op) & 89.52 (1 year) for the HT group and 61.8 (Pre-op) & 90.9 (1 year) for the PL group respectively. The mean Tegner-Lysholm scores were 69.83 (Pre-op) & 91.96 (1 year) for the HT group and 70.66 (Pre-op) & 92.36 (1 year) for the PL group respectively.10% of the HT group had residual anteromedial thigh pain & 6.7% had paraesthesia at one-year follow-up. In the PL group, the mean AOFAS score was 96.37 +/- 2.49 at the end of one year. Two cases (6.66%) reported paraesthesia around the harvested site.
UNASSIGNED: Peroneus longus tendon appears to be a better autograft choice than hamstrings for primary ACL reconstruction. Further, without a peroneal tenodesis, the functional outcomes of the donor ankle remained excellent.
UNASSIGNED: A single-center retrospective comparative study was undertaken to evaluate the functional outcomes (IKDC & Tegner-Lysholm scores) of primary isolated single bundle anatomic ACL Reconstruction with Peroneus Longus tendon (PL group) versus Hamstring (HT group) autografts. Further, an evaluation of donor ankle morbidity using the AOFAS score for the PL group and persistent anteromedial thigh pain and paraesthesia around the knee for the HT group was also performed.
UNASSIGNED: 30 patients were evaluated in each group. The mean graft diameter was 8.61 +/- 0.66mm (HT) & 9.6 +/- 0.84mm (PL) and the mean graft length was 7.39cm (HT) & 7.86cm (PL) respectively. The mean IKDC scores were 58.2 (Pre-op) & 89.52 (1 year) for the HT group and 61.8 (Pre-op) & 90.9 (1 year) for the PL group respectively. The mean Tegner-Lysholm scores were 69.83 (Pre-op) & 91.96 (1 year) for the HT group and 70.66 (Pre-op) & 92.36 (1 year) for the PL group respectively.10% of the HT group had residual anteromedial thigh pain & 6.7% had paraesthesia at one-year follow-up. In the PL group, the mean AOFAS score was 96.37 +/- 2.49 at the end of one year. Two cases (6.66%) reported paraesthesia around the harvested site.
UNASSIGNED: Peroneus longus tendon appears to be a better autograft choice than hamstrings for primary ACL reconstruction. Further, without a peroneal tenodesis, the functional outcomes of the donor ankle remained excellent.
摘要：
■在原发性单束ACL重建中，关于腓骨长肌腱与常规自体腿筋移植的比较研究很少。迄今为止,没有研究报告在不对腓骨短肢进行肌腱固定术的情况下收获腓骨长移植物时供体踝关节功能结局。
■进行了一项单中心回顾性比较研究，以评估腓骨长肌腱（PL组）和腿筋（HT组）自体移植的原发性孤立单束解剖ACL重建的功能结果（IKDC和Tegner-Lysholm评分）。Further,PL组使用AOFAS评分对供体踝关节的发病率进行评估,HT组使用持续的前内侧大腿疼痛和膝关节周围感觉异常进行评估.
■每组30例患者进行评估。平均移植物直径为8.61+/-0.66mm（HT）和9.6+/-0.84mm（PL），平均移植物长度分别为7.39cm（HT）和7.86cm（PL）。HT组的平均IKDC评分分别为58.2（术前）和89.52（1年），PL组的平均IKDC评分分别为61.8（术前）和90.9（1年）。HT组的平均Tegner-Lysholm评分分别为69.83（手术前）和91.96（1年），PL组的平均Tegner-Lysholm评分分别为70.66（手术前）和92.36（1年）。在一年的随访中，HT组有10％的人有残余的前大腿疼痛，6.7％的人有感觉异常。在PL组中，在一年结束时,AOFAS的平均得分为96.37+/-2.49.2例（6.66％）报告了收获部位周围的感觉异常。
■腓骨长肌腱似乎是一种比腿筋更好的自体移植物，用于初次ACL重建。Further,没有腓骨肌腱固定术，供体踝关节的功能结局仍然优异.
■进行了一项单中心回顾性比较研究，以评估腓骨长肌腱（PL组）和腿筋（HT组）自体移植的原发性孤立单束解剖ACL重建的功能结果（IKDC和Tegner-Lysholm评分）。Further,PL组使用AOFAS评分对供体踝关节的发病率进行评估,HT组使用持续的前内侧大腿疼痛和膝关节周围感觉异常进行评估.
■每组30例患者进行评估。平均移植物直径为8.61+/-0.66mm（HT）和9.6+/-0.84mm（PL），平均移植物长度分别为7.39cm（HT）和7.86cm（PL）。HT组的平均IKDC评分分别为58.2（术前）和89.52（1年），PL组的平均IKDC评分分别为61.8（术前）和90.9（1年）。HT组的平均Tegner-Lysholm评分分别为69.83（手术前）和91.96（1年），PL组的平均Tegner-Lysholm评分分别为70.66（手术前）和92.36（1年）。在一年的随访中，HT组有10％的人有残余的前大腿疼痛，6.7％的人有感觉异常。在PL组中，在一年结束时,AOFAS的平均得分为96.37+/-2.49.2例（6.66％）报告了收获部位周围的感觉异常。
■腓骨长肌腱似乎是一种比腿筋更好的自体移植物，用于初次ACL重建。Further,没有腓骨肌腱固定术，供体踝关节的功能结局仍然优异.
