Pontoh Ludwig Andibert Powantia, Dilogo Ismail Hadisoebroto, Kamal Achmad Fauzi, Rhatomy Sholahuddin, Putra Anggaditya, Fiolin Jessica, Herdiman Joshua Alward, Pontoh Ega Wirayoda
Department of Orthopaedic and Traumatology, Cipto Mangunkusumo General Hospital, Central Jakarta, DKI Jakarta, 10430, Indonesia.
Department of Orthopaedic and Traumatology, Fatmawati General Hospital, South Jakarta, DKI Jakarta, 12430, Indonesia.
Orthop Res Rev. 2025 Feb 12;17:83-93. doi: 10.2147/ORR.S495410. eCollection 2025.
The anterior cruciate ligament (ACL) is crucial for knee stability and joint movement coordination. ACL injuries are common, often leading to knee instability and subsequent complications. ACL reconstruction is a standard treatment option, with various autograft sources available. The anterior half of the peroneus longus (AHPL) tendon has emerged as a potential alternative autograft. This study aimes to examine the anterior knee pain in ACL reconstruction using AHPL.
This study included 51 patients with ACL injuries undergoing ACL reconstruction using the AHPL tendon autograft. Patient demographics, surgical details, and Kujala scores were collected.
The average age of our participants was 25.88 ± 5.39 years, with mean BMI classified as obese. Significant improvements in Kujala and KOOS pain scores were observed between each data collection. There was a negative correlation between baseline and three and six months post-operatively Kujala and KOOS pain scores with BMI.
The study findings suggest that ACL reconstruction using the AHPL tendon autograft significantly reduced anterior knee pain, as indicated by a better Kujala and KOOS pain score. Previous studies have highlighted concerns regarding anterior knee pain with other autograft sources, such as the patellar and hamstring tendons. The AHPL tendon autograft offers a promising alternative with favorable anterior knee pain and minimal donor site morbidity.
In ACL reconstruction, the AHPL tendon autograft demonstrates excellent outcomes regarding anterior knee pain, as measured by the Kujala score.
前交叉韧带（ACL）对膝关节稳定性和关节运动协调至关重要。ACL损伤很常见，常导致膝关节不稳定及后续并发症。ACL重建是一种标准治疗选择，有多种自体移植物来源。腓骨长肌前半部分（AHPL）肌腱已成为一种潜在的自体移植物替代物。本研究旨在探讨使用AHPL进行ACL重建时的膝前疼痛情况。
本研究纳入了51例接受AHPL肌腱自体移植物进行ACL重建的ACL损伤患者。收集了患者人口统计学资料、手术细节和库贾拉评分。
我们的参与者平均年龄为25.88±5.39岁，平均体重指数被归类为肥胖。在每次数据收集之间，观察到库贾拉和膝关节损伤与骨关节炎疗效评分（KOOS）疼痛评分有显著改善。基线时以及术后三个月和六个月时，库贾拉和KOOS疼痛评分与体重指数之间呈负相关。
研究结果表明，使用AHPL肌腱自体移植物进行ACL重建可显著减轻膝前疼痛，这表现为更好的库贾拉和KOOS疼痛评分。先前的研究强调了对其他自体移植物来源（如髌腱和腘绳肌腱）引起的膝前疼痛的担忧。AHPL肌腱自体移植物提供了一个有前景的替代方案，具有良好的膝前疼痛效果且供区发病率极低。
在ACL重建中，通过库贾拉评分衡量，AHPL肌腱自体移植物在膝前疼痛方面显示出优异的效果。
