Unlabelled: PUSPOSE OF THE STUDY. Many studies have investigated the efficacy of peroneus longus tendon (PLT) in anterior cruciate ligament (ACL) reconstruction, and donor site morbidity has not been adequately studied.
Material And Methods: Fifty patients who underwent ACL reconstruction using PLT were included. Ankle strengths of the patients evaluated with an analog dynamometer. Ankle range of motion (ROM) was measured with a smart phone inclonometer application.
Results: There was no significant difference between the postoperative ankle strength(eversion, plantar flexion) in the donor area and the preoperative period (p=0.6 and p=0.7, respectively) and contralateral healthy side (p=0.6, p=0.6, respectively). Ankle ROM angles (dorsiflexion, plantar flexion, eversion, inversion) were significantly lower in the post-operative period compared to the preoperative period and contralateral healthy side (p<0.05, p<0.05, p<0.05, p<0.05, respectively). There was no significant difference between pre-operative and post-operative AOFAS scores (p=0.2).
Conclusions: Although PLT can affect ROM angles, it is a promising alternative for ACL reconstructions without causing functional morbidity.
Key Words: peroneus longus tendon, autograft, anterior cruciate ligament reconstruction, donor site morbidity.
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http://dx.doi.org/10.55095/achot2024/023 | DOI Listing |
Knee
January 2025
Department of Orthopaedics and Traumatology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Background: The aim of this study was to predict intraoperative graft diameter with our new method by evaluating the cross-sectional areas (CSAs) of the hamstrings in axial sections of MRI.
Methods: This study included 78 patients who underwent single-bundle ACLR between 2022 and 2023. MRIs of the patients were evaulated preoperatively and four CSAs of the hamstring tendons were measured in two different regions by two participants.
J Sports Med Phys Fitness
January 2025
Department of Health and Corrective Exercise, School of Physical Education and Sport Sciences, Shahrood University of Technology, Shahrood, Semnan, Iran.
Introduction: This systematic review is aimed to evaluate the outcomes of published studies on the topic of fatigue-induced neuromuscular and biomechanical changes after anterior cruciate ligament (ACL) reconstruction.
Evidence Acquisition: The identification of studies involved a search across three databases - PubMed, Scopus, and Sportdiscus - until July 2023. The key terms utilized were fatigue, anterior cruciate ligament, biomechanics, electromyography, and landing.
Arthrosc Tech
December 2024
Department of Orthopaedics, University Hospital of Florence - A.O.U. Careggi, Florence, Italy.
Revision of anterior cruciate ligament reconstruction presents various challenges not encountered in the primary settings, including malpositioned tunnels, tunnel widening, and the lack of consensus on the ideal graft to be used. This Technical Note describes a one-stage anterior cruciate ligament reconstruction revision using a bone-patellar tendon-bone autograft combined with lateral extra-articular tenodesis. This technique represents the ideal approach to tackle complex revision cases primarily characterized by tibial and femoral tunnel osteolysis and rotational knee instability.
View Article and Find Full Text PDFArthrosc Tech
December 2024
Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, U.S.A.
Anterior cruciate ligament reconstruction with quadriceps tendon autograft is a reliable graft option that has recently increased in use. Varying harvesting and graft preparation techniques available and improved technology and implant design continue to make quadricep tendon preparation more efficient and reproducible. In this Technical Note, we describe our preferred technique for all-soft tissue quadriceps tendon autograft preparation after harvest for anterior cruciate ligament reconstruction.
View Article and Find Full Text PDFArthrosc Tech
December 2024
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.
In this article, we explain a simple method to effectively enhance the graft size and maintain the tissue integrity of a hamstring autograft. The triple-fold technique is useful for creating a soft-tissue size and length suitable for anterior cruciate ligament reconstruction.
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