关节镜下前交叉韧带重建术中使用全厚腓骨长肌腱自体移植物的临床及供区结局：一项印度前瞻性队列研究
简介
该前瞻性队列研究纳入30例ACL损伤患者，采用全厚三层腓骨长肌腱自体移植物进行关节镜下重建。术后6个月，Lysholm评分由术前54.6显著改善至91.3，90%以上患者恢复临床稳定性，踝关节功能评分（AOFAS、FADI）无明显下降。提示腓骨长肌腱移植物可获得满意骨道直径与功能恢复，且供区并发症极低，是ACL重建的安全有效替代方案。
英文摘要
INTRODUCTION: While hamstring and patellar tendon autografts are traditional choices for anterior cruciate ligament (ACL) reconstruction, concerns regarding donor-site morbidity and graft diameter persist. The peroneus longus tendon (PLT) has emerged as a promising alternative with excellent biomechanical properties and minimal knee-specific morbidity. OBJECTIVES: To prospectively evaluate knee functional outcomes, clinical stability, and donor-site morbidity following arthroscopic ACL reconstruction using a full-thickness tripled PLT autograft in an Indian patient cohort. MATERIALS AND METHODS: A prospective interventional study was conducted on 30 patients (mean age 18-50 years) with ACL insufficiency. All underwent arthroscopic reconstruction using a triple PLT autograft. Clinical stability was assessed through Lachman and Pivot Shift tests. Functional outcomes were measured using the Lysholm Knee Score, while donor-site morbidity was evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) and Foot and Ankle Disability Index (FADI) scores over a 6-month follow-up period. RESULTS: The mean graft diameter was 8.7 ± 0.6 mm. The mean Lysholm score significantly improved from 54.6 ± 8.1 preoperatively to 91.3 ± 5.4 at 6 months (P < 0.001). Post-operative stability was restored in over 90% of cases. Ankle function remained stable, with mean AOFAS (98.0 ± 2.3) and FADI (99.0 ± 1.2) scores showing no significant decline from baseline. No graft failures or major ankle complications were recorded. CONCLUSION: The full-thickness tripled PLT autograft is a safe, robust, and effective alternative for ACL reconstruction. It provides effective graft diameter and excellent functional recovery with negligible donor-site morbidity, making it particularly suitable for active young adults.