Effects of autologous peroneus longus tendon transplantation on ankle joint and lower limb function after anterior cruciate ligament reconstruction
10.3969/j.issn.1001-1242.2024.08.012
- VernacularTitle:自体腓骨长肌腱移植重建前交叉韧带术后对供区踝关节和下肢功能影响的研究
- Author:
Youqiang FAN
1
;
Guangxu XU
;
Ming MA
Author Information
1. 南京医科大学,江苏省南京市,211166;东南大学附属中大医院
- Publication Type:Journal Article
- Keywords:
anterior cruciate ligament;
peroneal long tendon;
hamstring tendon;
foot and ankle function;
balance;
rehabilitation
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(8):1168-1173,1193
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of anterior cruciate ligament (ACL) reconstruction by autograft peroneal lon-gus tendon (PLT) on the motor function of ankle joint and lower limb.Method:From June 2021 to August 2022,twenty-three patients with autologous peroneus longus tendon trans-plantation in Zhongda Hospital Affiliated to Southeast University and Changzhou Sports Hospital were enrolled(PLT group),and twenty-three patients with autologous hamstring tendon transplantation in the same periodwere enrolled in the control group. Six months post-operation,the relative peak torque of ankle inversion andeversion,joint range of motion,proprioception,VAS score,foot and ankle function score,Lysholm scale,bal-ance and hop lower limb motor function were compared between the affected side of PLT group and thehealthy side,and with the control group.Result:There were no significant differences in gender,age,BMI,operative side and other general data be-tween the two groups (P>0.05). Compared with the healthy side and the control group,there were no signifi-cant differences in VAS,ankle function scores,pronation motion and proprioception of the affected ankle inPLT group(P>0.05). However,at 60° and 180° angular velocities,the relative peak moment of ankle variationdecreased,the ratio of internal and external variation moment (I/E) increased,and the swing amplitude andtrajectory length of the balance function increased(all P<0.05). Compared with the control group,the hop dis-tance and limb symmetry index(LSI) of the affected lower extremity in PLT group were better (P<0.05).Conclusion:ACL reconstruction with PLT transplantation has a good functional prognosis. The impact on theVAS,range of motion,proprioceptive and ankle function scores on the donor site ankle joint,and the overallmotor function of the lower limb is relatively better. However,a decrease of the ankle valgus muscle strength,the ratio of I/E and balance function on the lower limb at the donor site should be addressed to formulatemore targeted rehabilitation prescriptions.
