腓骨长肌腱自体移植物重建ACL术后的膝关节和踝关节功能结果：一项前瞻性临床研究
简介
这项前瞻性非随机对照试验纳入26例男性孤立ACL撕裂患者，行关节镜下同侧全腓骨长肌腱自体移植物ACL重建，术前及术后6个月评估足弓指数（FAI）、AOFAS踝-后足评分、FADI及IKDC。术后IKDC由68升至84，FAI由0.26升至0.27（P=0.027），而AOFAS、FADI无显著变化。提示该术式6个月时膝关节功能改善，踝足功能未见明显恶化，但足…
英文摘要
BACKGROUND: An entire peroneus longus tendon (PLT) autograft has been introduced as an alternative graft for anterior cruciate ligament (ACL) reconstruction but concerns remain regarding donor-site effects on ankle and foot function. OBJECTIVE: This study evaluated knee outcome, ankle/foot function and footprint changes after ACL reconstruction using the entire peroneus longus autograft. METHODS: This non-randomized controlled clinical trial included 26 male patients (mean age 29.7 ± 5.8 years) with isolated ACL tears who underwent arthroscopic ACL reconstruction using an ipsilateral entire PLT autograft at Ain Shams University Hospitals and Dar Al-Shefa Hospitals. Patients were assessed preoperatively and at 6 months using the Foot Arch Index (FAI) from static footprint analysis, American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Foot and Ankle Disability Index (FADI) and International Knee Documentation Committee (IKDC) score. RESULTS: The FAI significantly increased from 0.26 ± 0.05 preoperatively to 0.27 ± 0.04 at 6 months (P = 0.027). Knee outcome improved, with the IKDC increasing from 68 ± 0.5 to 84.0 ± 0 (P = 0.017). Ankle/foot functional scores did not change significantly, with the AOFAS remaining at 98.8 ± 2.31 preoperatively versus 98.8 ± 2.45 postoperatively (P = 1) and the FADI showing no significant difference (99 ± 1.73 vs. 99.3 ± 1.41; P = 0.212). CONCLUSION: Reconstruction of the ACL using the entire PLT autograft was associated with improved knee outcome at 6 months without significant deterioration in ankle/foot function, alongside a small but statistically significant increase in FAI.