Farooq Azam Khan, Bilal Ahmad Abbas, Talha Qureshi, Abbas Bajwa.
Comparison of Peroneus Longus Tendon Graft versus Bone-Patellar Tendon-Bone Graft in Anterior Cruciate Ligament Reconstruction.
J Sharif Med Dent Coll Nov ;08(1):3-6.

Objective: To determine the effectiveness of peroneus longus tendon (PLT) graft versus bone-patellar tendon-bone (BPTB) graft in anterior cruciate ligament (ACL) reconstruction. Methodology: It was a quasi-experimental study conducted in the Orthopedics Department of the Sharif Medical City Hospital, Lahore. After obtaining ethical approval, 30 patients were included in the study by a non-probability convenient sampling technique. Written informed consent was taken from all the patients. The patients were divided into two groups. Patients in group A were treated with an arthroscopic assisted bone-patellar tendon-bone graft and group B with an arthroscopic assisted peroneus longus tendon graft. Functional treatment outcomes were determined by the Cincinnati Knee Rating System (CKRS) and International Knee Documentation Committee (IKDC) scores, preoperatively, and 6 months after surgery. The data was analyzed using the Statistical Package for the Social Sciences (SPSS) version 25. Results: The operative time was less in group B (45+/-10 min) as compared to group A (75+/-15 min). Average graft thickness in both groups was almost similar with a relatively larger graft harvest in group B patients (8.4+/-1.3 mm). There was no significant difference in CKRS and IKDC scores between the two groups, preoperatively, and after 6 months. Conclusion: Peroneus longus tendon is the first-line, safe, and effective graft for anterior cruciate ligament reconstruction. The functional outcome of the peroneus longus tendon graft is comparable to that of the bone-patellar tendon-bone graft. Keywords: Knee injury. Patellar tendon. Anterior cruciate ligament reconstruction.

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