Effect of Peroneus Longus Tendon Harvesting in Anterior Cruciate Ligament Reconstructive Surgery on Ankle and Foot Biomechanics

Mohsin Khaleel  Yaseen

doi:10.51699/cajmns.v7i2.3408

Authors

Mohsin Khaleel Yaseen Department of Medical Physics, College of Science, Tikrit University, Tikrit, Iraq

DOI:

https://doi.org/10.51699/cajmns.v7i2.3408

Keywords:

terior cruciate ligament reconstruction, peroneus longus tendon, tendon autograft, ankle biomechanics, ankle eversion strength, plantar flexion strength, balance

Abstract

Background: In this study, we concentrated on the peroneus longus tendon graft's effects on the ankle rather than the knee as in earlier research. Anterior cruciate ligament (ACL) injuries are often seen in sports-related injuries. Although the peroneus longus tendon graft has quickly garnered recognition in the literature, relatively little research has been done on the tendon's stability in the foot-ankle area. Purpose: To evaluate the effect peroneus longus tendon graft used in anterior cruciate ligament reconstruction (ACLR) on ankle eversion power, balance and 1^st ray planter flexion strength. Methods: The study included 50 out of 62 patients who met the inclusion criteria and had ACLR using a peroneus longus tendon graft at the same orthopaedics and traumatology clinic between march 2022 and February 2026. The demographic characteristics of the patients were recorded. Ankle strength measurements were performed, and all the patients were tested with the flamingo test, the eyes closed balance test, and the standing on tiptoes test. Results: The dynamometer measurements of the donor side and the contralateral side were compared. No statistically significant difference was determined between the 2 sides with respect to the ankle eversion and plantar flexion strength measurements (P = .084, P = .795, respectively). A significant result was obtained in the flamingo test (P = .054). In the examination of ankle functionality, no statistically significant difference was determined in the Foot and Ankle Disability Index and the American Orthopedic Foot and Ankle Score of the 2 sides (P = .674, P = . 312, respectively). Conclusion: The peroneus longus tendon can be safely used as an alternative autograft in ACLR without causing donor site morbidity or balance of foot.

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