Evaluation of Donor Ankle Function after Harvesting Peroneus Longus Tendon Graft for Anterior Cruciate Ligament ReconstructionA Prospective Cohort Study
Introduction: Primary full thickness Peroneus Longus Tendon Graft (PLTG) for Anterior Cruciate Ligament Reconstruction (ACLR) has been used with good clinical outcome. Recently, it is designated as a promising graft option for ACLR. The effect of harvesting PLTG on donor ankle function is still...
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| Autores principales: | , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/41a12d68b09c48169e0056b6cda739f7 |
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| Sumario: | Introduction: Primary full thickness Peroneus Longus Tendon
Graft (PLTG) for Anterior Cruciate Ligament Reconstruction
(ACLR) has been used with good clinical outcome. Recently, it
is designated as a promising graft option for ACLR. The effect of
harvesting PLTG on donor ankle function is still not completely
understood. Peroneus Longus Tendon (PLT) is thought to play a
major role in proprioceptive regulation of the ankle joint. All the
studies till date did cross-sectional assessments of ankle and
foot function at or after 6 months that might have overlooked
the timely detection of donor site morbidities.
Aim: To evaluate the ankle function and compare the affected
and sound limb function in subjects with an ACLR with
autologous PLTG starting at an early postoperative visit upto
six months.
Materials and Methods: A prospective cohort study was conducted
at a tertiary rehabilitation centre from March 2019 to March 2021
including the follow-up evaluation. As per the inclusion criteria, 63
participants after ACLR with PLTG were considered for assessment
using the American Orthopaedic Foot and Ankle Society (AOFAS)
ankle and hind foot scale and Foot and Ankle Ability Measure
(FAAM) scale at 6 weeks, 3 months and 6 months post-ACLR
follow-up. Comparison between sound and affected limbs was
done during all follow-ups. The statistical analysis was done using
Statistical Package for the Social Sciences (SPSS) version 18.0.
Both FAAM and AOFAS ankle and foot scores were analysed with
non parametric tests.
Results: Mean age of 63 participants were 29.25 years. Median of
AOFAS and FAAM score at 6 week, 3 month, and 6 month postACLR follow-ups were (88, 98 and 100) and (97.22, 98.80 and 100),
respectively. Statistically significant increase in AOFAS and FAAM
scores were observed at 3 month and 6 month as compared to
6 week follow-ups with p=0.001 and p-value=0.001 respectively. The
group comparison between the affected and sound side functional
scores at different study visits showed statistically significant greater
values for the sound ankle than the affected ankle (FAAM: 6 week:
p-value=0.001; 3 month: p-value=0.001; 6 month: p-value=0.001 and
AOFAS p-value=0.001; p-value=0.001; p-value=0.001, respectively).
Conclusion: The evaluation of functional outcomes showed
gradual and linear improvement at subsequent postoperative
visits and restores fully to 100% at 6 month indicating a nearnormal to normal donor ankle function following ACLR with PLTG
by 6 months. The group comparison showed only marginal but
significant difference between affected and sound ankle function. |
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