Velioğlu Kubilay, Öner Kerim, Aslan Fevzi Gürkan, Okutan Ahmet Emin, Kerimoğlu Servet, Turhan Ahmet Uğur
Department of Orthopaedic Surgery, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Department of Orthopaedic Surgery, School of Medicine, Samsun University, Samsun, Turkey.
Orthop J Sports Med. 2025 Apr 16;13(4):23259671251320659. doi: 10.1177/23259671251320659. eCollection 2025 Apr.
The peroneus longus tendon (PLT) autograft is suggested as a promising alternative graft option for reconstructive procedures supported by a growing body of evidence indicating favorable results. However, concerns remain regarding long-term functional impairments of the foot and ankle after harvesting a full-thickness PLT.
To evaluate long-term donor site morbidity in patients who underwent anterior cruciate ligament reconstruction using a PLT autograft.
Case series; Level of evidence, 4.
A retrospective review was performed to identify patients with harvested PLT autografts, and all eligible patients were invited to participate in a clinical examination at the hospital. To evaluate their range of motion, all included patients underwent a physical examination. Clinical outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Activities of Daily Living and Sports subscales of the Foot and Ankle Ability Measure (FAAM-ADL and FAAM-S). To evaluate foot and ankle structural changes, the intermetatarsal angle (IMA), hallux valgus angle (HVA), arc height index (AHI), lateral talo-first metatarsal angle (LTFMA), calcaneal pitch angle (CPA), and metatarsal angle (MA) were measured in the PLT harvested side and the contralateral side.
A total of 26 patients who were available for the final follow-up were included in this study. The mean age of the patients at the final follow-up was 45.7 ± 9.5 years. The mean follow-up time was 19.5 ± 3.4 years. AOFAS scores were excellent in 92.3% of patients (n = 24) and good in 7.7% (n = 2). The mean FAAM-ADL score was 99.6 ± 1.86. The mean FAAM-S score was 98.1 ± 5.94. No statistically significant differences were observed between the PLT harvested side and the contralateral side for any of the measured parameters-including the IMA, HVA, AHI, LTFMA, CPA, and MA.
This study demonstrated good to excellent long-term patient-reported outcomes and negligible radiographic changes after harvesting the full thickness PLT compared with the contralateral side. These long-term data strongly support PLT harvesting as an alternative graft choice and suggest that this method does not alter the natural history of foot and ankle structures.
腓骨长肌腱（PLT）自体移植被认为是一种有前景的替代移植选择，用于重建手术，越来越多的证据表明其效果良好。然而，对于切取全层PLT后足踝的长期功能损害仍存在担忧。
评估使用PLT自体移植进行前交叉韧带重建患者的长期供区并发症。
病例系列；证据等级，4级。
进行回顾性研究以确定接受PLT自体移植的患者，所有符合条件的患者均被邀请到医院进行临床检查。为评估其活动范围，所有纳入患者均接受体格检查。使用美国矫形足踝协会（AOFAS）评分以及足踝能力测量的日常生活和运动分量表（FAAM-ADL和FAAM-S）来衡量临床结果。为评估足踝结构变化，在切取PLT的一侧和对侧测量跖间角（IMA）、拇外翻角（HVA）、弓高指数（AHI）、距骨-第一跖骨外侧角（LTFMA）、跟骨倾斜角（CPA）和跖骨角（MA）。
本研究共纳入26例可进行最终随访的患者。最终随访时患者的平均年龄为45.7±9.5岁。平均随访时间为19.5±3.4年。92.3%（n = 24）的患者AOFAS评分优秀，7.7%（n = 2）的患者评分良好。FAAM-ADL的平均评分为99.6±1.86。FAAM-S的平均评分为98.1±5.94。在任何测量参数（包括IMA、HVA、AHI、LTFMA、CPA和MA）方面，切取PLT的一侧与对侧之间均未观察到统计学上的显著差异。
本研究表明，与对侧相比，切取全层PLT后患者报告的长期结果良好至优秀，影像学变化可忽略不计。这些长期数据有力支持将切取PLT作为一种替代移植选择，并表明该方法不会改变足踝结构的自然病程。
