Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2021; 88(1):58-62 | DOI: 10.55095/achot2021/010

Je alograft šlachy m. peroneus longus vhodnou alternativou pro rekonstrukci předního zkříženého vazu: srovnávací studiePůvodní práce

R. ERTOGRUL¹, A. VAROL⁴, Y. OC³, B. E. KILINC^2,*

¹ Surp Pirgic Private Hospital, Orthopaedic Surgery and Traumatolohy Department, Istanbul, Turkey

² Health Science University, Fatih Sultan Mehmet Training and Research Hospital State Hospital, Orthopaedics Surgery and Traumatology Department, Istanbul, Turkey

³ Bagcilar Medilife Private Hospital, Orthopaedic Surgery and Traumatology Department, Istanbul, Turkey

⁴ Silopi State Hospital, Orthopaedic Surgery and Traumatology Department, Sirnak, Turkey

PURPOSE OF THE STUDY:
To compare the early clinical results of patients who had anterior cruciate ligament (ACL) reconstruction with peroneus longus allograft versus hamstring tendon autograft.

MATERIAL AND METHODS:
Forty patients who underwent ACL reconstruction were included in the study. Patients were grouped by their graft preference. Lachman and Pivot-shift tests were performed to the patients. Laxity was measured by KT-1000 arthrometer test with 15, 20 and 30 pound power. The maximum force values of nonoperated knee and the operated knee were recorded with Cybex II isokinetic dynamometer (HUMAC) and compared to each other. International Knee Documentation Committee (IKDC) form, modified Lysholm and Cincinnati evaluation forms were compared between two groups.

RESULTS:
Twenty patients included into peroneus longus allograft (Group 1) and 20 patients were included into hamstring autograft group (Group 2). The mean age of patients Group 1 and 2 were 34.25 ± 6.73, and 29.6 ± 4.55, respectively. No significant difference was noted between two groups at modified Lysholm, Cincinati and IKDC scores (p > 0.01). There was no statistically significant difference between the Lachman and Pivot hift levels (p > 0.01). No significant difference was found in KT-1000 device measurements between groups according to the performed techniques (p > 0.01). There was no statistically significant difference between Cybex extension-flexion 60/sec measurement and extension 240 /sec measurement of the patients (p > 0.01).

DISCUSSION:
Allografts can be preferred because of the advantages, such as lack of donor site morbidity, short operative time, large graft, small incision, minimal scar, good cosmetic appearance, less postoperative pain, less movement restriction, and less arthrofibrosis. However, there are disadvantages, such as disease transmission, low biocompatibility, immune response, long recovery time, and high cost. Although it is difficult to compare the stability and functionality of allografts and autografts because of the differences in graft processing, fixation methods, and surgical techniques in studies, similar clinical results are reported in long-term follow-ups.

CONCLUSIONS:
Graft preference is dependent on surgical experience, patient age, activity status, comorbidities, presurgical status, and patient decision. Allograft ACL reconstruction is a good alternative to arthroscopic ACL reconstruction performed with hamstring tendon graft.

Klíčová slova: anterior cruciate ligament, peroneus longus allograft, hamstring autograft, ACL reconstruction

Zveřejněno: 15. únor 2021  Zobrazit citaci