RESULTS OF ALL-INSIDE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING AN ANTERIOR HALF OF THE PERONEUS LONGUS TENDON AUTOGRAFT

Phạm Quang Vinh1, Đỗ Quang Sang2, Nguyễn Phương Nam2,
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Thu Duc Regional General Hospital in Thu Duc City of HCMC

Main Article Content

Abstract

Background: Anterior cruciate ligament injury is one of the most common knee ligament injuries. Arthroscopic All-Inside Anterior Cruciate Ligament Reconstruction is a method with many advantages to restore the anatomical, mechanical and functional characteristics of the anterior cruciate ligament of the knee. Objective: To evaluate the initial outcome of ACL reconstruction arthroscopy by anterior half of peroneus longus tendon. Methods: A prospective study was carried out on 31 patients with complete rupture of the isolated anterior cruciate ligament with or without meniscal injury, who underwent anterior cruciate ligament reconstruction surgery with autologous anterior half of peroneal longus tendon by using all inside technique. Results: The study on 31 patients with mean age was 29.26 ± 6.21 years old, the youngest was 19 years old, the highest was 40 years old, the ratio of male: female = 30 (96.8%) : 1 (3.2). %), the mean postoperative follow-up time was 9.25 ± 2.25 months. The average length of the graft is 60 ± 1.03mm. The average graft diameter (4 strands) in the tibial plateau is 7.85 ± 0.57mm, the femoral condyle is 7.90 ± 0.63mm. Lachman test before surgery: 9.7% grade 2, 90.3% grade 3, after surgery 12.9% grade 1 and 87.1% negative, no patient grade 2 or 3. Pivot shift test before surgery 6.5% grade 1, 64.5% grade 2 and 29% grade 3; after surgery 87.1% negative, 12.9% grade 1, no patient grade 2, grade 3. Preoperative knee function according to Lysholm  score 57.71 ± 9.33 points, in which 77.4% is poor and 22.6% is fair, after surgery the average is 93.55 ± 2.99 points, of which good and excellent accounted for 96.8%, fair is 3.2%, no patients were in poor grade. IKDC classification before surgery, grade C accounted for 3.2%, grade D accounted for 96.8%; After surgery, grade A accounted for 83.9%, grade B accounted for 16.1%, there were no patients in grade C, D. Conclusion: All-Inside Anterior Cruciate Ligament Reconstruction Using an Anterior Half of the Peroneus Longus Tendon Autograft is a good technique to restore the ACL for patients

Article Details

References

1. K. B. Freedman, M. J. D'Amato (2003), "Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts", Am J Sports Med. 31(1), pp. 2-11.
2. Rincon LM. Chowaniec MJ., Obopilwe E., Mazzocca AD (2006), "Mechanical properties evaluation of the tibialis anterior and posterior and the peroneus longus tendons", Arthrex literature.
3. J. ZhaoX. Huangfu (2012), "The biomechanical and clinical application of using the anterior half of the peroneus longus tendon as an autograft source", Am J Sports Med. 40(3), pp. 662-71.
4. J. H. Lubowitz, C. S. Ahmad (2011), "All-inside anterior cruciate ligament graft-link technique: second-generation, no-incision anterior cruciate ligament reconstruction", Arthroscopy. 27(5), pp. 717-27.
5. J. H. Lubowitz (2012), "All-inside anterior cruciate ligament graft link: graft preparation technique", Arthrosc Tech. 1(2), pp. e165-8.
6. X. Song, Q. Li (2018), "Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction", Medicine (Baltimore). 97(44), pp. e12672.
7. K. Yasuda, Y. Tanabe (2010), "Anatomic double-bundle anterior cruciate ligament reconstruction", Arthroscopy. 26(9 Suppl), pp. S21-34.