Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity
Purpose This study aimed to evaluate the differences in clinical outcome and donor site morbidity between the Peroneus Longus Tendon (PLT) and Hamstring Tendon (HT) in single-bundle Posterior Cruciate Ligament (PCL) reconstruction. Methods Patients with an isolated PCL injury underwent single-bundle...
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Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-04, Vol.29 (4), p.1045-1051 |
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creator | Rhatomy, Sholahuddin Abadi, Muhammad Bahtera Tri Setyawan, Riky Asikin, Asa Ibrahim Zainal Soekarno, Noha Roshadiansyah Imelda, Lumban-Gaol Budhiparama, Nicolaas C. |
description | Purpose
This study aimed to evaluate the differences in clinical outcome and donor site morbidity between the Peroneus Longus Tendon (PLT) and Hamstring Tendon (HT) in single-bundle Posterior Cruciate Ligament (PCL) reconstruction.
Methods
Patients with an isolated PCL injury underwent single-bundle PCL reconstruction using consecutive sampling. Patients were allocated into two groups (PLT and HT) and prospectively observed. The tendon graft diameter was measured intraoperatively. Functional scores (IKDC, Lysholm, and modified Cincinnati scores) were recorded preoperatively and 2 years postoperatively. The thigh circumference and functional score according to the Foot and Ankle Disability Index (FADI) and American Orthopedic Foot and Ankle Society (AOFAS) were recorded to evaluate the morbidities in the ankle.
Results
Fifty-five patients (hamstring
n
= 27, peroneus
n
= 28) met the inclusion criteria. The diameter of the PLT graft (8.2 ± 0.6 mm) was comparable to that of the HT graft (8.3 ± 0.5 mm). Both groups had excellent postoperative knee functional outcome scores. The mean AOFAS and FADI scores were excellent, with no difference in thigh circumference between the groups.
Conclusion
PLT is a good choice as a graft in PCL reconstruction at the 2-year follow-up, with minimal donor site morbidity.
Level of evidence
II. |
doi_str_mv | 10.1007/s00167-020-06077-3 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2408538952</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2502555806</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-10521361927acab8b0a8148a78efd5bd7a204b9638833a401ce12a45a723ff1b3</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi1ERQ-FF2CBLLFhExjfYocdqrhJlegC1paTTE5dJXawHVCfhZet23MAiUVXY89888_YPyEvGLxhAPptBmCtboBDAy1o3YhHZMekEI0WUj8mO-gkbzio9pQ8zfkaoB5l94ScCi51C6Ldkd-XMRdMPiY6pG3wriCd_d4tGApNOMSQS80XHwP95csVXTHFgFumcwz7GgqGsdZ-Ysr1duWWyvuwP-bfUUeHuKwu-VypONFpC_dqbqZxK7WG1IWRVraukH0dv8TU-9GXm2fkZHJzxufHeEa-f_zw7fxzc_H105fz9xfNILQqDQPFmWhZx7UbXG96cIZJ47TBaVT9qB0H2XetMEYIJ4ENyLiTymkupon14oy8PuiuKf7YMBe7-DzgPLuAccuWSzBKmE7xir76D72OW6qPqZQCrpQy0FaKH6ghxZwTTnZNfnHpxjKwd9bZg3W2WmfvrbOiNr08Sm_9guPflj9eVUAcgLze_TCmf7MfkL0FgoOnsg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2502555806</pqid></control><display><type>article</type><title>Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals</source><creator>Rhatomy, Sholahuddin ; Abadi, Muhammad Bahtera Tri ; Setyawan, Riky ; Asikin, Asa Ibrahim Zainal ; Soekarno, Noha Roshadiansyah ; Imelda, Lumban-Gaol ; Budhiparama, Nicolaas C.</creator><creatorcontrib>Rhatomy, Sholahuddin ; Abadi, Muhammad Bahtera Tri ; Setyawan, Riky ; Asikin, Asa Ibrahim Zainal ; Soekarno, Noha Roshadiansyah ; Imelda, Lumban-Gaol ; Budhiparama, Nicolaas C.</creatorcontrib><description>Purpose
This study aimed to evaluate the differences in clinical outcome and donor site morbidity between the Peroneus Longus Tendon (PLT) and Hamstring Tendon (HT) in single-bundle Posterior Cruciate Ligament (PCL) reconstruction.
Methods
Patients with an isolated PCL injury underwent single-bundle PCL reconstruction using consecutive sampling. Patients were allocated into two groups (PLT and HT) and prospectively observed. The tendon graft diameter was measured intraoperatively. Functional scores (IKDC, Lysholm, and modified Cincinnati scores) were recorded preoperatively and 2 years postoperatively. The thigh circumference and functional score according to the Foot and Ankle Disability Index (FADI) and American Orthopedic Foot and Ankle Society (AOFAS) were recorded to evaluate the morbidities in the ankle.
Results
Fifty-five patients (hamstring
n
= 27, peroneus
n
= 28) met the inclusion criteria. The diameter of the PLT graft (8.2 ± 0.6 mm) was comparable to that of the HT graft (8.3 ± 0.5 mm). Both groups had excellent postoperative knee functional outcome scores. The mean AOFAS and FADI scores were excellent, with no difference in thigh circumference between the groups.
Conclusion
PLT is a good choice as a graft in PCL reconstruction at the 2-year follow-up, with minimal donor site morbidity.
Level of evidence
II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-06077-3</identifier><identifier>PMID: 32476036</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Ankle ; Ankle - surgery ; Ankle Joint - surgery ; Circumferences ; Diameters ; Evaluation ; Feet ; Female ; Foot - surgery ; Grafting ; Grafts ; Hamstring Tendons - transplantation ; Humans ; Knee ; Knee Injuries - surgery ; Knee Joint - surgery ; Ligaments ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity ; Orthopedics ; Posterior Cruciate Ligament - injuries ; Posterior Cruciate Ligament - surgery ; Posterior Cruciate Ligament Reconstruction - methods ; Reconstruction ; Tendons ; Tendons - transplantation ; Thigh ; Thigh - surgery ; Transplant Donor Site - pathology ; Treatment Outcome ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-04, Vol.29 (4), p.1045-1051</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-10521361927acab8b0a8148a78efd5bd7a204b9638833a401ce12a45a723ff1b3</citedby><cites>FETCH-LOGICAL-c375t-10521361927acab8b0a8148a78efd5bd7a204b9638833a401ce12a45a723ff1b3</cites><orcidid>0000-0002-5512-6706</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-020-06077-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-020-06077-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32476036$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rhatomy, Sholahuddin</creatorcontrib><creatorcontrib>Abadi, Muhammad Bahtera Tri</creatorcontrib><creatorcontrib>Setyawan, Riky</creatorcontrib><creatorcontrib>Asikin, Asa Ibrahim Zainal</creatorcontrib><creatorcontrib>Soekarno, Noha Roshadiansyah</creatorcontrib><creatorcontrib>Imelda, Lumban-Gaol</creatorcontrib><creatorcontrib>Budhiparama, Nicolaas C.</creatorcontrib><title>Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
This study aimed to evaluate the differences in clinical outcome and donor site morbidity between the Peroneus Longus Tendon (PLT) and Hamstring Tendon (HT) in single-bundle Posterior Cruciate Ligament (PCL) reconstruction.
Methods
Patients with an isolated PCL injury underwent single-bundle PCL reconstruction using consecutive sampling. Patients were allocated into two groups (PLT and HT) and prospectively observed. The tendon graft diameter was measured intraoperatively. Functional scores (IKDC, Lysholm, and modified Cincinnati scores) were recorded preoperatively and 2 years postoperatively. The thigh circumference and functional score according to the Foot and Ankle Disability Index (FADI) and American Orthopedic Foot and Ankle Society (AOFAS) were recorded to evaluate the morbidities in the ankle.
Results
Fifty-five patients (hamstring
n
= 27, peroneus
n
= 28) met the inclusion criteria. The diameter of the PLT graft (8.2 ± 0.6 mm) was comparable to that of the HT graft (8.3 ± 0.5 mm). Both groups had excellent postoperative knee functional outcome scores. The mean AOFAS and FADI scores were excellent, with no difference in thigh circumference between the groups.
Conclusion
PLT is a good choice as a graft in PCL reconstruction at the 2-year follow-up, with minimal donor site morbidity.
Level of evidence
II.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ankle</subject><subject>Ankle - surgery</subject><subject>Ankle Joint - surgery</subject><subject>Circumferences</subject><subject>Diameters</subject><subject>Evaluation</subject><subject>Feet</subject><subject>Female</subject><subject>Foot - surgery</subject><subject>Grafting</subject><subject>Grafts</subject><subject>Hamstring Tendons - transplantation</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - surgery</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Orthopedics</subject><subject>Posterior Cruciate Ligament - injuries</subject><subject>Posterior Cruciate Ligament - surgery</subject><subject>Posterior Cruciate Ligament Reconstruction - methods</subject><subject>Reconstruction</subject><subject>Tendons</subject><subject>Tendons - transplantation</subject><subject>Thigh</subject><subject>Thigh - surgery</subject><subject>Transplant Donor Site - pathology</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kctu1TAQhi1ERQ-FF2CBLLFhExjfYocdqrhJlegC1paTTE5dJXawHVCfhZet23MAiUVXY89888_YPyEvGLxhAPptBmCtboBDAy1o3YhHZMekEI0WUj8mO-gkbzio9pQ8zfkaoB5l94ScCi51C6Ldkd-XMRdMPiY6pG3wriCd_d4tGApNOMSQS80XHwP95csVXTHFgFumcwz7GgqGsdZ-Ysr1duWWyvuwP-bfUUeHuKwu-VypONFpC_dqbqZxK7WG1IWRVraukH0dv8TU-9GXm2fkZHJzxufHeEa-f_zw7fxzc_H105fz9xfNILQqDQPFmWhZx7UbXG96cIZJ47TBaVT9qB0H2XetMEYIJ4ENyLiTymkupon14oy8PuiuKf7YMBe7-DzgPLuAccuWSzBKmE7xir76D72OW6qPqZQCrpQy0FaKH6ghxZwTTnZNfnHpxjKwd9bZg3W2WmfvrbOiNr08Sm_9guPflj9eVUAcgLze_TCmf7MfkL0FgoOnsg</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Rhatomy, Sholahuddin</creator><creator>Abadi, Muhammad Bahtera Tri</creator><creator>Setyawan, Riky</creator><creator>Asikin, Asa Ibrahim Zainal</creator><creator>Soekarno, Noha Roshadiansyah</creator><creator>Imelda, Lumban-Gaol</creator><creator>Budhiparama, Nicolaas C.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5512-6706</orcidid></search><sort><creationdate>20210401</creationdate><title>Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity</title><author>Rhatomy, Sholahuddin ; Abadi, Muhammad Bahtera Tri ; Setyawan, Riky ; Asikin, Asa Ibrahim Zainal ; Soekarno, Noha Roshadiansyah ; Imelda, Lumban-Gaol ; Budhiparama, Nicolaas C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-10521361927acab8b0a8148a78efd5bd7a204b9638833a401ce12a45a723ff1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ankle</topic><topic>Ankle - surgery</topic><topic>Ankle Joint - surgery</topic><topic>Circumferences</topic><topic>Diameters</topic><topic>Evaluation</topic><topic>Feet</topic><topic>Female</topic><topic>Foot - surgery</topic><topic>Grafting</topic><topic>Grafts</topic><topic>Hamstring Tendons - transplantation</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - surgery</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Orthopedics</topic><topic>Posterior Cruciate Ligament - injuries</topic><topic>Posterior Cruciate Ligament - surgery</topic><topic>Posterior Cruciate Ligament Reconstruction - methods</topic><topic>Reconstruction</topic><topic>Tendons</topic><topic>Tendons - transplantation</topic><topic>Thigh</topic><topic>Thigh - surgery</topic><topic>Transplant Donor Site - pathology</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rhatomy, Sholahuddin</creatorcontrib><creatorcontrib>Abadi, Muhammad Bahtera Tri</creatorcontrib><creatorcontrib>Setyawan, Riky</creatorcontrib><creatorcontrib>Asikin, Asa Ibrahim Zainal</creatorcontrib><creatorcontrib>Soekarno, Noha Roshadiansyah</creatorcontrib><creatorcontrib>Imelda, Lumban-Gaol</creatorcontrib><creatorcontrib>Budhiparama, Nicolaas C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rhatomy, Sholahuddin</au><au>Abadi, Muhammad Bahtera Tri</au><au>Setyawan, Riky</au><au>Asikin, Asa Ibrahim Zainal</au><au>Soekarno, Noha Roshadiansyah</au><au>Imelda, Lumban-Gaol</au><au>Budhiparama, Nicolaas C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>29</volume><issue>4</issue><spage>1045</spage><epage>1051</epage><pages>1045-1051</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
This study aimed to evaluate the differences in clinical outcome and donor site morbidity between the Peroneus Longus Tendon (PLT) and Hamstring Tendon (HT) in single-bundle Posterior Cruciate Ligament (PCL) reconstruction.
Methods
Patients with an isolated PCL injury underwent single-bundle PCL reconstruction using consecutive sampling. Patients were allocated into two groups (PLT and HT) and prospectively observed. The tendon graft diameter was measured intraoperatively. Functional scores (IKDC, Lysholm, and modified Cincinnati scores) were recorded preoperatively and 2 years postoperatively. The thigh circumference and functional score according to the Foot and Ankle Disability Index (FADI) and American Orthopedic Foot and Ankle Society (AOFAS) were recorded to evaluate the morbidities in the ankle.
Results
Fifty-five patients (hamstring
n
= 27, peroneus
n
= 28) met the inclusion criteria. The diameter of the PLT graft (8.2 ± 0.6 mm) was comparable to that of the HT graft (8.3 ± 0.5 mm). Both groups had excellent postoperative knee functional outcome scores. The mean AOFAS and FADI scores were excellent, with no difference in thigh circumference between the groups.
Conclusion
PLT is a good choice as a graft in PCL reconstruction at the 2-year follow-up, with minimal donor site morbidity.
Level of evidence
II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32476036</pmid><doi>10.1007/s00167-020-06077-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5512-6706</orcidid></addata></record> |
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language | eng |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals |
subjects | Adolescent Adult Ankle Ankle - surgery Ankle Joint - surgery Circumferences Diameters Evaluation Feet Female Foot - surgery Grafting Grafts Hamstring Tendons - transplantation Humans Knee Knee Injuries - surgery Knee Joint - surgery Ligaments Male Medicine Medicine & Public Health Middle Aged Morbidity Orthopedics Posterior Cruciate Ligament - injuries Posterior Cruciate Ligament - surgery Posterior Cruciate Ligament Reconstruction - methods Reconstruction Tendons Tendons - transplantation Thigh Thigh - surgery Transplant Donor Site - pathology Treatment Outcome Young Adult |
title | Posterior cruciate ligament reconstruction with peroneus longus tendon versus hamstring tendon: a comparison of functional outcome and donor site morbidity |
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