Clinical Prognosis of Arthroscopic Reconstruction of Anterior Cruciate Ligament with Autogenous Peroneus Longus Tendon

  • Jin Su
Keywords: Arthroscopy, Autologous Peroneus Longus Tendon, Anterior Cruciate Ligament, Clinical Prognosis

Abstract

Objective: To analyze the clinical effect and safety of arthroscopic reconstruction of the anterior cruciate
ligament with autogenous peroneus longus tendon and to explore its clinical value. Methods: 68 cases with
ruptured anterior cruciate ligament (ACL) treated in our hospital from July 2013 to October, 2015 were included
in this prospective control analysis. Random number table was used to divide the patients into the observation
group (n=34) and the control group (n=34), respectively. Autogenous peroneus longus tendon and hamstring
tendon autograft were used for arthroscopic reconstruction of the anterior cruciate ligament respectively. The
surgery and postoperative related indexes, and the changes of preoperative and postoperative 6-month and
2-year Tegner score, Lysholm score, International Knee Documentation Committee (IKDC) score were
compared. The clinical effect and safety of two methods were analyzed. Results: There was no significant
difference between the two groups in operation time, 24-hour intra-articular drainage volume and postoperative
hospitalization time (P > 0.05). The incision healed primarily after operation in the two groups, there was no
occurrence of complications such as major neurovascular injury, knee joint synovitis or other complications,
there was no complication at the donor site. 6-month and 2-year postoperative Tegner score, Lysholm score,
IKDC score were higher than before surgery, which were statistically different (P < 0.05). 6-month
postoperative Tegner score, Lysholm score, IKDC score in the observation group were higher than the control
group, which were statistically different (P < 0.05). Conclusion: The safety of arthroscopic reconstruction of
anterior cruciate ligament with autogenous peroneus longus tendon is good, and the early clinical effect is better
than that of autogenous hamstring tendon reconstruction. It is worthy of further attention.

Published
2019-09-15