Singh Mayank Pratap, Verma Maneesh, Agrawal Dhruvkumar Rakeshkumar, Gaur Tribhuwan Narayan Singh, Maravi Deepak S, Dhanopeya Ajay
Department of Orthopaedics, Government Medical College, Datia, Madhya Pradesh, India.
Dean and CEO, Government Medical College, Datia, Madhya Pradesh, India.
J Orthop Case Rep. 2025 Jun;15(6):207-212. doi: 10.13107/jocr.2025.v15.i06.5718.
Anterior cruciate ligament (ACL) injuries are common and debilitating, often requiring surgical reconstruction. The peroneus longus tendon (PLT) is a promising autograft for ACL reconstruction, with less donor site morbidity than traditional grafts like bone-patellar tendon-bone and hamstring tendons. This study evaluates donor site ankle morbidity after PLT harvesting for ACL reconstruction.
A retrospective observational study at an Indian Government Medical College and Hospital from February 2023 to October 2024 involved 56 patients with symptomatic ACL tears who underwent arthroscopic ACL reconstruction using PLT grafts. Donor site morbidity was assessed preoperatively and postoperatively using the visual analog scale for foot and ankle (VAS-FA) and American orthopaedic Foot and Ankle society (AOFAS) scores at 14 days, 4 weeks, 12 weeks, and 6 months. Data were analyzed with repeated measures analysis of variance.
Participants had a mean age of 36.8 years and an average injury duration of 13.3 months. Donor site morbidity occurred in 66.1% of patients, mainly as mild pain and swelling, which improved significantly over time. VAS-FA scores dropped from 7.52 preoperatively to 2.05 at 6 months, and AOFAS scores increased from 54.8 to 80.0. Chronic injury duration (over 16 months) was associated with poorer recovery, while preoperative pain, gender, graft size, and weight-bearing duration had no significant impact on recovery outcomes.
PLT harvesting for ACL reconstruction leads to minimal donor site morbidity, with mild pain and swelling that improve over time. PLT grafts offer a promising alternative to traditional autografts, providing comparable outcomes and fewer complications. Larger studies with longer follow-up are needed to confirm these results.
前交叉韧带（ACL）损伤很常见且使人衰弱，通常需要进行手术重建。腓骨长肌腱（PLT）是用于ACL重建的一种有前景的自体移植物，与骨-髌腱-骨和腘绳肌腱等传统移植物相比，供区并发症更少。本研究评估了用于ACL重建的PLT取材后供区踝关节的并发症情况。
在一所印度政府医学院及其附属医院于2023年2月至2024年10月进行的一项回顾性观察研究中，纳入了56例有症状的ACL撕裂患者，这些患者接受了使用PLT移植物的关节镜下ACL重建。在术前以及术后14天、4周、12周和6个月时，使用足踝视觉模拟量表（VAS-FA）和美国矫形足踝协会（AOFAS）评分评估供区并发症情况。采用重复测量方差分析对数据进行分析。
参与者的平均年龄为36.8岁，平均损伤持续时间为13.3个月。66.1%的患者出现了供区并发症，主要表现为轻度疼痛和肿胀，随着时间推移有显著改善。VAS-FA评分从术前的7.52降至6个月时的2.05，AOFAS评分从54.8升至80.0。慢性损伤持续时间（超过16个月）与恢复较差相关，而术前疼痛、性别、移植物大小和负重持续时间对恢复结果无显著影响。
用于ACL重建的PLT取材导致的供区并发症极少，仅有轻度疼痛和肿胀且会随时间改善。PLT移植物为传统自体移植物提供了一种有前景的替代方案，能提供相当的疗效且并发症更少。需要开展更大规模、随访时间更长的研究来证实这些结果。
