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Half-peroneus-longus-tendon graft augmentation for unqualified hamstring tendon graft of anterior cruciate ligament reconstruction

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

In some situations, harvested hamstring tendon grafts are not qualified for anterior cruciate ligament (ACL) reconstruction. This study aimed to present a reinforcing method with additional half peroneus longus tendon (half-PLT) graft augmentation.

Methods

Eight cases underwent ACL reconstruction with unqualified hamstring tendon grafts (diameter <7 mm) and were salvaged by additional half-PLT graft augmentation. The pivot shift test and KT-1000 tests were performed 3 years after surgery. Functional evaluation of subjective International Knee Documentation Committee (IKDC) and Lysholm scores was also done. In addition, Foot and Ankle Disability Index (FADI) scores were used to evaluate the function of the ankle donor site.

Results

The diameter of unqualified four-strand hamstring tendon grafts was 6.2 mm on average (range, 6.0–6.5 mm). The average diameter of hamstring grafts with half-PLT augmentation was 9.6 mm (range, 9.5–10.0 mm). The pivot shift test was negative in all patients. No significant differences between normal and abnormal knees were found by KT-1000. The average IKDC score was 86.0 (range, 83 to 89), and the average Lysholm score was 84.4 (range, 80–90). The average FADI score for the donor sites of half-PLT was 135.8 (range, 134–136).

Conclusions

Additional half-PLT can successfully and safely reinforce unqualified hamstring tendon grafts for ACL reconstruction.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-San North Rd., Taipei, 10449, Taiwan

    Chung-Ting Liu & Yung-Chang Lu

  2. Department of Medical Research, Biomechanics Research Laboratory, Mackay Memorial Hospital, Tamshui, Taipei, Taiwan

    Yung-Chang Lu & Chang-Hung Huang

  3. Department of Cosmetic Application and Management, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan

    Yung-Chang Lu

  4. Department of Dentistry, National Yang-Ming University, Taipei, Taiwan

    Chang-Hung Huang

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Correspondence to Yung-Chang Lu.

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Liu, CT., Lu, YC. & Huang, CH. Half-peroneus-longus-tendon graft augmentation for unqualified hamstring tendon graft of anterior cruciate ligament reconstruction. J Orthop Sci 20, 854–860 (2015). https://doi.org/10.1007/s00776-015-0744-2

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  • DOI: https://doi.org/10.1007/s00776-015-0744-2

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