背景:前交叉韧带(ACL)是膝关节最常见的损伤结构之一。前交叉韧带重建(ACLR)使用移植材料的放置提供了损伤的ACL的手术修复。移植物的选择主要是在手术后提供最佳的膝盖稳定性。腓骨长肌腱(PLT)是一种自体移植方式,为ACL重建病例提供了独特的益处。
方法:我们介绍了一例ACL重建手术,应用PLT移植证实ACL破裂的患者。手术后疼痛的评估,膝关节稳定性,进行踝关节功能检查以确定功能结局和供体部位发病率。后续结果表明,所有目标参数的恢复和改善都很好。
结论:使用国际膝关节文献委员会(IKDC)和美国骨科足踝评分(AOFAS)评分评估术后生物力学结果。在ACL重建中使用PLT为其令人满意的结果建立了极好的潜力,并且在广泛使用的基于证据的发现中与其他移植方式相当。
结论:腓骨长肌腱可能被认为是ACL重建的首选移植物,因为它表明没有明显的术后发病率。
BACKGROUND: The anterior cruciate ligament (ACL) is one of the most frequently injured structures of the knee joint. Anterior cruciate ligament reconstruction (ACLR) provides surgical restoration of the injured ACL using the placement of graft material. The choice of graft is principal in providing optimal knee stability after surgery. Peroneus longus tendon (PLT) is an autograft modality that offers unique benefits for ACL reconstruction cases.
METHODS: We present a
case of ACL reconstruction surgery using PLT graft in a patient with a confirmed ACL rupture. Assessment of post-surgical pain, knee stability, and ankle function were performed to determine functional outcome and donor site morbidity. The follow-up results revealed favorable recovery and improvement in all objective parameters.
CONCLUSIONS: Post-operative biomechanical outcomes were evaluated using the International Knee Documentation Committee (IKDC) and the American Orthopedic Foot and Ankle Score (AOFAS) score. The use of PLT in ACL reconstruction established an excellent potential for its satisfactory result and comparable to other graft modalities in widely used evidence-based findings.
CONCLUSIONS: Peroneus longus tendon may be considered the first-option graft in ACL reconstruction as it indicated the absence of significant post-operative morbidity.