Shorif Uz Zaman¹*, Muhammad Amzad Hussain², Mohammad Shah Kamal Uddin³, GM Jahangir Hossain⁴, Ushahla Marma⁵, Mohammad Badsha Miah⁶ and Naima Akter⁷

¹Junior Consultant of Orthopaedic Surgery, 250 Bed General Hospital, Gopalganj, Bangladesh
²Medical Officer of Orthopaedic Surgery, 250 Bed District Sadar Hospital, Cox'sbazar, Bangladesh
³Junior Consultant of Orthopaedic Surgery, Cox's Bazar Sadar Hospital, Cox's Bazar, Bangladesh
⁴Associate Professor of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh
⁵Assistant Registrar of Orthopaedic Surgery, 250 Bed District Sadar Hospital, Cox'sbazar, Bangladesh
⁶Assistant Professor, Orthopaedic Surgery, Sheikh Sayera Khatun Medical College Gopalganj, Bangladesh
⁷Assistant Registrar, Mymensingh Medical College Hospital, Bangladesh

*Corresponding Author: Shorif Uz Zaman, Junior Consultant of Orthopaedic Surgery, 250 bed general Hospital, Gopalganj, Bangladesh.

Received: June 13, 2023; Published: June 14, 2023

Abstract

Background: Anterior cruciate ligament (ACL) is the most common ligament to be torn in the knee joint and ACL reconstruction (ACLR) is one of the most commonly performed surgery in orthopaedics nowadays.

Objective: The aim of this study is to compare the clinical and functional outcome along with donor site morbidity of ACL reconstruction using Hamstring tendon and Peroneus longus tendon autograft.

Methods: This prospective observational study was carried out at National Institute of Traumatology and Orthoapedic Rehabilitation, Dhaka from January 2019 to December 2020. A total case of 30 in group 1 (Hamstring tendon) and 30 in group 2 (Peroneus longus tendon) is included in the study according to inclusion and exclusion criteria.

Results: Preoperative Lysholm knee score was 63.33 in group 1 and 62.43 in group 2. An improvement was observed in post-operative Lysholm knee score in both groups (93.67 vs 95.53). Post-operatively anterior drawer and Lachman test was positive in one case in group 1 due to graft failure. Superficial infection was seen in one case in group-1 and two cases in group-2, knee pain was present 6.67% cases in group 1 whereas no pain was reported in group 2. No significant difference was observed regarding graft diameter between two groups (8.02 mm vs 8.3 mm). Overall, most of the cases showed excellent outcome in both groups (76.67% vs 83.33%). Post-operative AOFAS score was excellent in all the case of peroneus longus group.

Conclusion: Although complication rate is lower and excellent outcome is more in group 2, it was not statistically significant. Peroneus longus graft from the ankle did not produce any poor outcome and both hamstring and peroneus longus can be used safely in ACL reconstruction.

 Keywords: Anterior Cruciate Ligament (ACL); Knee Joint; ACL Reconstruction (ACLR)

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Citation

Citation: Shorif Uz Zaman., et al. “Outcome of Arthroscopic ACL Reconstruction by Hamstring Tendon and Peroneus Longus Tendon Autograft".Acta Scientific Orthopaedics 6.7 (2023): 28-33.

Copyright

Copyright: © 2023 Shorif Uz Zaman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.