Authors
Arojuraye Soliudeen Adebayo, Salahudeen Abdulfatah Ayokunle, Alabi Ibrahim Abolaji
Published in
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland. Oct 05, 2026. Epub Oct 05, 2026.
Abstract
Hamstring tendon autograft is widely used for anterior cruciate ligament (ACL) reconstruction, but concerns persist regarding graft size, harvest duration, and donor-site morbidity. Peroneus longus tendon (PLT) autograft has emerged as a potential alternative. This study compared PLT and hamstring tendon (HT) autografts in arthroscopic ACL reconstruction.
A randomised controlled study was conducted at a tertiary orthopaedic centre. Adults with ACL rupture were allocated to HT (n = 81) or PLT (n = 81) autograft. Primary outcomes included graft harvest time and graft dimensions. Secondary outcomes included the Lysholm knee score, the American Orthopaedic Foot and Ankle Society (AOFAS) score, thigh circumference, and donor-site morbidity. Follow-up was performed at 1, 6, and 12 months.
PLT harvest was significantly faster than HT (7.13 ± 2.30 vs 24.37 ± 4.85 min; p < 0.05). PLT grafts were significantly longer and thicker (p < 0.05). Both groups demonstrated substantial improvement in Lysholm scores, with no significant difference at 12 months (p = 0.53). AOFAS scores in the PLT group returned to near-baseline by 6 months. The HT group exhibited significant thigh hypotrophy and one surgical site infection.
PLT autograft provided faster harvest, larger graft dimensions, and lower donor-site morbidity while achieving comparable early functional outcomes to HT autograft. PLT represents a reliable alternative graft option for arthroscopic ACL reconstruction.
PMID:
42833924
Bibliographic data and abstract were imported from PubMed on 06 Oct 2026.
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