Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Orthopaedic Science
Published in: Journal of Orthopaedic Science 5/2015

01-09-2015 | Original Article

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

Authors: Chung-Ting Liu, Yung-Chang Lu, Chang-Hung Huang

Published in: Journal of Orthopaedic Science | Issue 5/2015

Login to get access

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.
Literature
1.
Biau DJ, Katsahian S, Kartus J, Harilainen A, Feller JA, Sajovic M, Ejerhed L, Zaffagnini S, Ropke M, Nizard R. Patellar tendon versus hamstring tendon autografts for reconstructing the anterior cruciate ligament: a meta-analysis based on individual patient data. Am J Sports Med. 2009;37(12):2470–8.CrossRefPubMed
2.
Freedman KB, D’Amato MJ, Nedeff DD, Kaz A, Bach BR Jr. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003;31(1):2–11.PubMed
3.
Feller JA, Webster KE. A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med. 2003;31(4):564–73.PubMed
4.
Hamner DL, Brown CH Jr, Steiner ME, Hecker AT, Hayes WC. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg Am. 1999;81(4):549–57.PubMed
5.
Woo SL, Kanamori A, Zeminski J, Yagi M, Papageorgiou C, Fu FH. The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon: a cadaveric study comparing anterior tibial and rotational loads. J Bone Joint Surg Am. 2002;84(A(6)):907–14.PubMed
6.
Williams RJ, Hyman J, Petrigliano F, Rozental T, Wickiewicz TL. Anterior cruciate ligament reconstruction with a four-strand hamstring tendon autograft. J Bone Joint Surg Am. 2004;86(A(2)):225–32.PubMed
7.
Papastergiou SG, Konstantinidis GA, Natsis K, Papathanasiou E, Koukoulias N, Papadopoulos AG. Adequacy of semitendinosus tendon alone for anterior cruciate ligament reconstruction graft and prediction of hamstring graft size by evaluating simple anthropometric parameters. Anat Res Int. 2012;2012:424158.PubMed
8.
Torzilli PA, Greenberg RL, Hood RW, Pavlov H, Insall JN. Measurement of anterior-posterior motion of the knee in injured patients using a biomechanical stress technique. J Bone Joint Surg Am. 1984;66(9):1438–42.PubMed
9.
Treme G, Diduch DR, Billante MJ, Miller MD, Hart JM. Hamstring graft size prediction: a prospective clinical evaluation. Am J Sports Med. 2008;36(11):2204–9.CrossRefPubMed
10.
Siebold R, Webster KE, Feller JA, Sutherland AG, Elliott J. Anterior cruciate ligament reconstruction in females: a comparison of hamstring tendon and patellar tendon autografts. Knee Surg Sports Traumatol Arthrosc. 2006;14(11):1070–6.CrossRefPubMed
11.
Grood ES, Walz-Hasselfeld KA, Holden JP, Noyes FR, Levy MS, Butler DL, Jackson DW, Drez DJ. The correlation between anterior-posterior translation and cross-sectional area of anterior cruciate ligament reconstructions. J Orthop Res. 1992;10(6):878–85.CrossRefPubMed
12.
Hamada M, Shino K, Horibe S, Mitsuoka T, Toritsuka Y, Nakamura N. Changes in cross-sectional area of hamstring anterior cruciate ligament grafts as a function of time following transplantation. Arthroscopy. 2005;21(8):917–22.CrossRefPubMed
13.
Pearsall AW, Hollis JM, Russell GV Jr, Scheer Z. A biomechanical comparison of three lower extremity tendons for ligamentous reconstruction about the knee. Arthroscopy. 2003;19(10):1091–6.CrossRefPubMed
14.
Chan DB, Temple HT, Latta LL, Mahure S, Dennis J, Kaplan LD. A biomechanical comparison of fan-folded, single-looped fascia lata with other graft tissues as a suitable substitute for anterior cruciate ligament reconstruction. Arthroscopy. 2010;26(12):1641–7.CrossRefPubMed
15.
Kerimoglu S, Aynaci O, Saracoglu M, Aydin H, Turhan AU. Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta Orthop Traumatol Turc. 2008;42(1):38–43.CrossRefPubMed
16.
Cao HB, Liang J, Xin JY. Treatment of anterior cruciate ligament injury with peroneus longus tendon. Zhonghua yi xue za zhi. 2012;92(35):2460–2.PubMed
17.
Graham GP, Johnson S, Dent CM, Fairclough JA. Comparison of clinical tests and the KT1000 in the diagnosis of anterior cruciate ligament rupture. Br J Sports Med. 1991;25(2):96–7.PubMedCentralCrossRefPubMed
18.
Forster IW, Warren-Smith CD, Tew M. Is the KT1000 knee ligament arthrometer reliable? J Bone Joint Surg Br. 1989;71(5):843–7.PubMed
19.
Malcom LL, Daniel DM, Stone ML, Sachs R. The measurement of anterior knee laxity after ACL reconstructive surgery. Clin Orthop Relat Res. 1985;196:35–41.PubMed
20.
Daniel DM, Malcom LL, Losse G, Stone ML, Sachs R, Burks R. Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am. 1985;67(5):720–6.PubMed
21.
Higgins LD, Taylor MK, Park D, Ghodadra N, Marchant M, Pietrobon R, Cook C. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Joint Bone Spine. 2007;74(6):594–9.CrossRefPubMed
22.
Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43–9.PubMed
23.
Martin RL, Irrgang JJ, Lalonde KA, Conti S. Current concepts review: foot and ankle outcome instruments. Foot Ankle Int. 2006;27(5):383–90.PubMed
24.
Ziai P, Benca E, von Skrbensky G, Graf A, Wenzel F, Basad E, Windhager R, Buchhorn T. The role of the peroneal tendons in passive stabilisation of the ankle joint: an in vitro study. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1404–8.CrossRefPubMed
25.
Xie G, Huangfu X, Zhao J. Prediction of the graft size of 4-stranded semitendinosus tendon and 4-stranded gracilis tendon for anterior cruciate ligament reconstruction: a Chinese Han patient study. Am J Sports Med. 2012;40(5):1161–6.CrossRefPubMed
26.
Pinheiro LF Jr, de Andrade MA, Teixeira LE, Bicalho LA, Lemos WG, Azeredo SA, Silva LA, Gonzaga LG. Intra-operative four-stranded hamstring tendon graft diameter evaluation. Knee Surg Sports Traumatol Arthrosc. 2011;19(5):811–5.CrossRefPubMed
27.
Schwartzberg R, Burkhart B, Lariviere C. Prediction of hamstring tendon autograft diameter and length for anterior cruciate ligament reconstruction. Am J Orthop (Belle Mead NJ). 2008;37(3):157–9.PubMed
28.
Tuman JM, Diduch DR, Rubino LJ, Baumfeld JA, Nguyen HS, Hart JM. Predictors for hamstring graft diameter in anterior cruciate ligament reconstruction. Am J Sports Med. 2007;35(11):1945–9.CrossRefPubMed
29.
Bickel BA, Fowler TT, Mowbray JG, Adler B, Klingele K, Phillips G. Preoperative magnetic resonance imaging cross-sectional area for the measurement of hamstring autograft diameter for reconstruction of the adolescent anterior cruciate ligament. Arthroscopy. 2008;24(12):1336–41.CrossRefPubMed
30.
Hamada M, Shino K, Mitsuoka T, Abe N, Horibe S. Cross-sectional area measurement of the semitendinosus tendon for anterior cruciate ligament reconstruction. Arthroscopy. 1998;14(7):696–701.CrossRefPubMed
31.
Erquicia JI, Gelber PE, Doreste JL, Pelfort X, Abat F, Monllau JC. How to improve the prediction of quadrupled semitendinosus and gracilis autograft sizes with magnetic resonance imaging and ultrasonography. Am J Sports Med. 2013;41(8):1857–63.CrossRefPubMed
32.
Conte EJ, Hyatt AE, Gatt CJ Jr, Dhawan A. Hamstring autograft size can be predicted and is a potential risk factor for anterior cruciate ligament reconstruction failure. Arthroscopy. 2014;30(7):882–90.CrossRefPubMed
33.
Abe T, Loenneke JP, Thiebaud RS. Ultrasound assessment of hamstring muscle size using posterior thigh muscle thickness. Clin Physiol Funct Imaging. 2014 Nov 3.
34.
Wernecke G, Harris IA, Houang MT, Seeto BG, Chen DB, MacDessi SJ. Using magnetic resonance imaging to predict adequate graft diameters for autologous hamstring double-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2011;27(8):1055–9.CrossRefPubMed
35.
Aldrian S, Valentin P, Wondrasch B, Krusche-Mandl I, Ostermann RC, Platzer P, Hofbauer M. Gender differences following computer-navigated single- and double-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014;22(9):2145–52.CrossRefPubMed
36.
Sutton KM, Bullock JM. Anterior cruciate ligament rupture: differences between males and females. J Am Acad Orthop Surg. 2013;21(1):41–50.CrossRefPubMed
37.
Kuenze CM, Hertel J, Hart JM. Quadriceps muscle function after exercise in men and women with a history of anterior cruciate ligament reconstruction. J Athl Train. 2014;49(6):740–6.CrossRefPubMed
38.
Sandon A, Werner S, Forssblad M. Factors associated with returning to football after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014 May 27.
39.
Shelbourne KD, Liotta FJ. ACL reconstruction using an abnormally thick autogenous patellar tendon graft. Am J Knee Surg. 1999 Spring;12(2):79-81.
40.
Johnson CH, Christensen JC. Biomechanics of the first ray. Part I. The effects of peroneus longus function: a three-dimensional kinematic study on a cadaver model. J Foot Ankle Surg. 1999;38(5):313–21.CrossRefPubMed
41.
Murley GS, Tan JM, Edwards RM, De Luca J, Munteanu SE, Cook JL. Foot posture is associated with morphometry of the peroneus longus muscle, tibialis anterior tendon, and Achilles tendon. Scand J Med Sci Sports. 2014;24(3):535–41.CrossRefPubMed
42.
Leiter JR, Gourlay R, McRae S, de Korompay N, MacDonald PB. Long-term follow-up of ACL reconstruction with hamstring autograft. Knee Surg Sports Traumatol Arthrosc. 2014;22(5):1061–9.PubMed
43.
Alanen J, Orava S, Heinonen OJ, Ikonen J, Kvist M. Peroneal tendon injuries. Report of thirty-eight operated cases. Ann Chir Gynaecol. 2001;90(1):43–6.PubMed
44.
Patterson MJ, Cox WK. Peroneus longus tendon rupture as a cause of chronic lateral ankle pain. Clin Orthop Relat Res. 1999;365:163–6.CrossRefPubMed
45.
Dombek MF, Lamm BM, Saltrick K, Mendicino RW, Catanzariti AR. Peroneal tendon tears: a retrospective review. J Foot Ankle Surg. 2003;42(5):250–8.CrossRefPubMed
46.
Eckert WR, Davis EA Jr. Acute rupture of the peroneal retinaculum. J Bone Joint Surg Am. 1976;58(5):670–2.PubMed
47.
Wang XT, Rosenberg ZS, Mechlin MB, Schweitzer ME. Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features. Radiographics. 2005;25(3):587–602.CrossRefPubMed
48.
Rosenberg ZS, Bencardino J, Astion D, Schweitzer ME, Rokito A, Sheskier S. MRI features of chronic injuries of the superior peroneal retinaculum. Am J Roentgenol. 2003;181(6):1551–7.CrossRef
49.
Maffulli N, Ferran NA, Oliva F, Testa V. Recurrent subluxation of the peroneal tendons. Am J Sports Med. 2006;34(6):986–92.CrossRefPubMed
Metadata
Title
Half-peroneus-longus-tendon graft augmentation for unqualified hamstring tendon graft of anterior cruciate ligament reconstruction
Authors
Chung-Ting Liu
Yung-Chang Lu
Chang-Hung Huang
Publication date
01-09-2015
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 5/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-015-0744-2

Other articles of this Issue 5/2015

Journal of Orthopaedic Science 5/2015 Go to the issue

Case Report

Transtrochanteric rotational osteotomy combined with intra-articular procedures for pigmented villonodular synovitis of the hip

Original Article

Comparison of the effects of sodium hyaluronate-chondroitin sulphate and corticosteroid in the treatment of lateral epicondylitis: a prospective randomized trial

Original Article

Quantitative analysis of attachment of the labrum to the glenoid fossa: a cadaveric study

Erratum

Erratum to: Association between new indices in the locomotive syndrome risk test and decline in mobility: third survey of the ROAD study

Original Article

Diagnostic accuracy of the Self-administered, Self-reported History Questionnaire for lumbar spinal stenosis patients in Japanese primary care settings: a multicenter cross-sectional study (DISTO-project)

Original Article

Establishment of a liaison clinic for patients with intractable chronic pain