Shetty Subodh B, Prabhakar Powdhan H, Kajava P Vachan, Rao Harsh Kirthi, Sarma M K Lokesh
Department of Orthopaedic Surgery, J.J.M. Medical College, Davangere, Karnataka, India.
J Orthop Case Rep. 2024 Oct;14(10):225-229. doi: 10.13107/jocr.2024.v14.i10.4872.
ACL injuries are more common amongst active young people where RTA and sports injuries predominate as the most common methods of injury ACL reconstruction with peroneus longus graft method have been used more frequently nowadays. The advantages of peroneus longus graft are, Adequate graft length of minimum of 25 to 30 cm. Adequate thickness of minimum 8.5 to 9mm,Less incidence of graft thinning, Lesser hamstring and quadriceps weakness, Minimal donor site morbidity. Minimal restriction of ankle movements.
A prospective study of 25 patients with injured anterior cruciate ligament without meniscal injury within the age group of 18-55 years managed with arthroscopic reconstruction of anterior cruciate ligament with peroneus longus graft and fixed loop endobutton at femoral side and interference screw at tibial side. Functional outcome was assessed using clinical examination, International Knee Documentation committee and Lysholm knee scoring scale, FADI score (foot and ankle disability index score). Patients were followed up at 2, 4, 8, 12weeks and 6, 8 months post-operatively.
This study consists of 25 cases of Anterior Cruciate Ligament injury. ACL rupture was common in second and third decade of life. In our study, 18(63.34%) were sports related injuries, 5(26.66%) were due to road traffic accidents and 2(10%) were atraumatic degenerations. 22(80%) showed excellent results and 3(20%) showed good results.
Arthroscopic ACL reconstruction using peroneus longus graft and Fixed-loop Endobutton and interference screws provided excellent post-operative clinical outcome in terms of knee stability, subjective knee and ankle function and range of movements of the knee and ankle in our study.
前交叉韧带（ACL）损伤在活跃的年轻人中更为常见，其中道路交通事故（RTA）和运动损伤是ACL损伤最常见的方式。目前，使用腓骨长肌腱移植方法进行ACL重建更为频繁。腓骨长肌腱移植的优点包括：移植肌腱长度足够，至少25至30厘米；厚度足够，至少8.5至9毫米；移植肌腱变薄的发生率较低；对腘绳肌和股四头肌的削弱较小；供体部位并发症最少；对踝关节活动的限制最小。
对25例年龄在18 - 55岁之间、前交叉韧带损伤且无半月板损伤的患者进行前瞻性研究，采用关节镜下用腓骨长肌腱移植重建前交叉韧带，股骨侧使用固定环纽扣钢板，胫骨侧使用挤压螺钉。通过临床检查、国际膝关节文献委员会（IKDC）和Lysholm膝关节评分量表、FADI评分（足踝功能障碍指数评分）评估功能结果。术后2周、4周、8周、12周以及6个月、8个月对患者进行随访。
本研究包括25例前交叉韧带损伤病例。ACL断裂在20至30岁年龄段最为常见。在我们的研究中，18例（63.34%）为运动相关损伤，5例（26.66%）是由于道路交通事故，2例（10%）为非创伤性退变。22例（80%）显示出优异的结果，3例（20%）显示出良好的结果。
在我们的研究中，使用腓骨长肌腱移植、固定环纽扣钢板和挤压螺钉进行关节镜下ACL重建，在膝关节稳定性、主观膝关节和踝关节功能以及膝关节和踝关节活动范围方面提供了优异的术后临床效果。
