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Sholahuddin Rhatomy - One of the best experts on this subject based on the ideXlab platform.
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ankle eversion and first ray plantar flexion muscle strength after Peroneus longus tendon harvest for anterior cruciate ligament reconstruction
Orthopaedic Journal of Sports Medicine, 2020Co-Authors: Fidelis H Wicaksono, Sholahuddin Rhatomy, Nicolaas C BudipharamaAbstract:The Peroneus longus tendon has been used for a graft in orthopedic reconstruction surgery due to its comparable biomechanical strength to the native Anterior Cruciate Ligament (ACL) and hamstring t...
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single bundle acl reconstruction with Peroneus longus tendon graft 2 years follow up
Journal of clinical orthopaedics and trauma, 2020Co-Authors: Sholahuddin Rhatomy, Asa Ibrahim Zainal Asikin, Leonardus Hartoko, Riky Setyawan, Noha Roshadiansyah Soekarno, Dodi Pridianto, Edi MustamsirAbstract:Abstract Background Peroneus longus tendon autograft resembles hamstring tendon's biomechanical strength. Thus, Peroneus longus is a potential graft in reconstructive orthopaedic procedures. However, there was few study in evaluation of Peroneus longus usage in ACL reconstruction. This study aimed to quantify the clinical outcome and donor site morbidity in ACL reconstruction using Peroneus longus tendon autograft. Methods Patients who suffered isolated ACL injury were enrolled and underwent isolated single bundle ACL reconstruction using Peroneus longus autograft. Functional score (IKDC, Modified Cincinnati, and Tegner-Lysholm score) were assessed at pre-operative and 2-years after surgery. Graft diameter was measured intraoperative. Donor site morbidities were assessed with thigh circumference measurement and ankle scoring using AOFAS and FADI. We also measured serial hop test. Results Seventy-five patients fulfilled inclusion criteria. Peroneus longus graft diameter was 8.38 ± 0.68 mm. There was significant difference between pre and 2-years post-operative functional score in IKDC, Modified Cincinnati, and Tegner-Lysholm score. Mean of AOFAS was 98.93 ± 3.10 and FADI was 99.79 ± 0.59 with no significant decrease of thigh circumference, and good serial hop test result. Conclusion ACL reconstruction with Peroneus longus autograft has excellent functional score in IKDC, Modified Cincinnati, Tegner-Lysholm score at 2-years follow up with the advantages of greater graft diameter, less thigh hypotrophy, good serial hop test result, and excellent ankle function based on AOFAS and FADI score. Level of evidence Level 2, Prospective Cohort Study.
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influence of anthropometric features on Peroneus longus graft diameter in anterior cruciate ligament reconstruction a cohort study
Annals of medicine and surgery, 2019Co-Authors: Sholahuddin Rhatomy, Tedjo Rukmoyo, Riky Setyawan, Henry Tanzil, Camilla Amanda, Krisna Yuarno Phatama, Jeffrey Andrianus, Bambang KisworoAbstract:Abstract Background Anterior Cruciate Ligament (ACL) is the most common ligament injury during sports activities that was treated with ACL reconstruction. Nowadays, Peroneus longus is used in ACL reconstruction. However, it is difficult to predict the Peroneus longus graft diameter for ACL reconstruction. Thus, preoperative measurements are very important to predict Peroneus longus autograft for ACL reconstruction. Methods A cohort retrospective study was conducted using consecutive sampling method from February 2016 until October 2017 in our center. We recorded patients’ characteristics include gender, age, body weight, height, and Body Mass Index (BMI) preoperatively. We measured Peroneus longus graft diameter intraoperatively, and analysed data using Spearman correlation. Results Thirty-nine patients met inclusion criteria. There were 28 males and 11 females in the Peroneus group. From the patients' mean characteristics, age was 25.10 ± 9.16, body weight 71.23 ± 14.17, height 169.13 ± 8.81, and BMI 20.96 ± 3.44. Intraoperative Peroneus longus diameter measurement was 8.56 ± 0.82. Spearman correlation showed significant correlation between intraoperative Peroneus longus diameter with patient's height, body weight, and BMI with p Conclusion Patients’ characteristics including gender, height, weight, and BMI in preoperative measurements can predict peoneus longus graft diameter intraoperatively.
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eversion and first ray plantarflexion muscle strength in anterior cruciate ligament reconstruction using a Peroneus longus tendon graft
Orthopaedic Journal of Sports Medicine, 2019Co-Authors: Sholahuddin Rhatomy, Riky Setyawan, Noha Roshadiansyah Soekarno, Fidelis H Wicaksono, Shinta Primasara, Nicolaas C BudhiparamaAbstract:Background:The Peroneus longus tendon has been used as a graft in orthopaedic reconstruction surgery because of its comparable biomechanical strength with the native anterior cruciate ligament (ACL...
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posterior cruciate ligament reconstruction with Peroneus longus tendon graft 2 years follow up
Annals of medicine and surgery, 2019Co-Authors: Riky Setyawan, Asa Ibrahim Zainal Asikin, Noha Roshadiansyah Soekarno, Sholahuddin RhatomyAbstract:Abstract Background Several study that evaluate the usage of Peroneus longus tendon (PLT) autograft in Anterior Cruciate Ligament reconstruction shows good result. Regardless the potential, there was no study about the use of PLT autograft in Posterior Cruciate Ligament (PCL) reconstruction. The purpose of this study is to evaluate the functional outcome and donor site morbidity after single bundle PCL reconstruction using PLT autograft. Methods Patient who met inclusion criteria, enrolled to this study and underwent single bundle PCL reconstruction using PL tendon autograft. Clinical outcomes were assessed with International Knee Documentation Committee (IKDC), Modified Cincinnati scoring systems, Lysholm score, and Serial hop test (single hop test and triple hop test) 2-year after surgery. Donor site morbidity was assessed with Foot and Ankle Disability Index (FADI) and American Orthopaedic Foot and Ankle (AOFAS) scoring system. Results Fifteen patients fulfilled the inclusion criteria (11 males and 4 females). PLT graft diameters were 7.5–10 mm (mean: 8.30 ± 0.65 mm). Significant increase of functional score (p Conclusion PCL reconstruction using Peroneus longus tendon autograft shows good functional outcome of the knee based on IKDC, Modified Cincinnati, Lysholm score, with preservation of ankle function based on AOFAS and FADI score at 2-years follow-up.
Hyong Nyun Kim - One of the best experts on this subject based on the ideXlab platform.
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tendon regeneration after partial thickness Peroneus longus tendon harvesting magnetic resonance imaging evaluation and in vivo animal study
American Journal of Sports Medicine, 2020Co-Authors: Ho Won Lee, Chenyu Wang, Tae Soo Bae, Ik Yang, Yuxuan Liu, Chang Won Park, Hyong Nyun KimAbstract:Background:In recent years, the use of the anterior half of the Peroneus longus tendon (AHPLT) as an autograft source for ligament reconstruction has gained popularity. However, no reports are avai...
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lateral ankle ligament reconstruction using the anterior half of the Peroneus longus tendon
Knee Surgery Sports Traumatology Arthroscopy, 2015Co-Authors: Hyong Nyun Kim, June Young Jeon, Quanyu Dong, Kyu Cheol Noh, Kook Jin Chung, Hong Kyun Kim, Ji Hyo Hwang, Yong Wook ParkAbstract:The purpose of this study was to assess the results of a novel surgical technique for the treatment of chronic lateral ankle instability with attenuated or deficient ligamentous tissue that the modified Brostrom procedure could not be performed. A lateral ankle ligament reconstruction using the anterior half of the Peroneus longus tendon has been performed. Thirty-four consecutive patients treated with lateral ankle ligament reconstruction using anterior half of the Peroneus longus tendon were enrolled. Median age at surgery was 24 years (range 19–46 years). The clinical and radiologic outcomes were evaluated preoperatively and at a median of 21 months (range 12–51 months) follow-up. The Karlsson–Peterson ankle score significantly improved from 58.2 ± 10.9 points preoperatively to 83.9 ± 7.0 points at the last follow-up. Mechanical stability was achieved. The mean talar tilt angle significantly improved from 15.7° ± 3.5° preoperatively to 4.6° ± 1.7° at the last follow-up, and the mean anterior talar translation significantly improved from 7.3 ± 2.6 mm preoperatively to 4.1 ± 1.7 mm at the last follow-up. Fifteen patients (52 %) were very satisfied with the results, nine patients (31 %) were satisfied, four patients (14 %) were fair, and one patient (3 %) was dissatisfied with the results. Lateral ankle ligament reconstruction using the anterior half of the Peroneus longus tendon can be a surgical option for chronic lateral ankle instability with attenuated or deficient ligaments. Case-series, Level IV.
Nicolaas C Budhiparama - One of the best experts on this subject based on the ideXlab platform.
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eversion and first ray plantarflexion muscle strength in anterior cruciate ligament reconstruction using a Peroneus longus tendon graft
Orthopaedic Journal of Sports Medicine, 2019Co-Authors: Sholahuddin Rhatomy, Riky Setyawan, Noha Roshadiansyah Soekarno, Fidelis H Wicaksono, Shinta Primasara, Nicolaas C BudhiparamaAbstract:Background:The Peroneus longus tendon has been used as a graft in orthopaedic reconstruction surgery because of its comparable biomechanical strength with the native anterior cruciate ligament (ACL...
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Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single bundle acl reconstruction
Knee Surgery Sports Traumatology Arthroscopy, 2019Co-Authors: Sholahuddin Rhatomy, Asa Ibrahim Zainal Asikin, Anggun Esti Wardani, Tedjo Rukmoyo, Imelda Lumbangaol, Nicolaas C BudhiparamaAbstract:A Peroneus longus tendon autograft is used in many orthopaedic procedures and it is biomechanically comparable to a hamstring tendon autograft. Despite its potential, there are few studies that have evaluated the use of the Peroneus longus tendon in ACL reconstruction. The aim of this study was to compare the clinical outcome and donor site morbidity of ACL reconstruction with hamstring tendon autografts versus Peroneus longus tendon autografts in patients with an isolated ACL injury. Patients who underwent isolated single-bundle ACL reconstruction were allocated to two groups (hamstring and Peroneus longus) and observed prospectively. Graft diameter was measured intraoperatively. Functional scores (IKDC, modified Cincinnati and Lysholm scores) were recorded preoperatively and 1 year after surgery. Donor site morbidities were assessed with thigh circumference measurements and ankle scoring with the AOFAS and FADI. Fifty-two patients (hamstring n = 28, Peroneus n = 24) met the inclusion criteria. The Peroneus longus graft diameter (8.8 ± 0.7 mm) was significantly larger than the hamstring diameter (8.2 ± 0.8 mm) (p = 0.012). There were no significant differences between the pre- and 1-year postoperative score between the hamstring and Peroneus longus groups in the IKDC (n.s), modified Cincinnati (n.s), and Lysholm (n.s). The mean for the AOFAS was 97.3 ± 4.2 and for the FADI 98 ± 3.4 in the Peroneus longus group, with a significant decrease in thigh circumference in the hamstring group (p = 0.002). Anterior cruciate ligament reconstruction with Peroneus longus autografts produces a functional score (IKDC, modified Cincinnati, Lysholm) comparable to that of hamstring autografts at a 1-year follow-up, with the advantages of larger graft diameter, less thigh hypotrophy and excellent ankle function based on AOFAS and FADI scores. Prospective cohort study, Level II.
Meir Nyska - One of the best experts on this subject based on the ideXlab platform.
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tear of Peroneus longus in long distance runners due to enlarged peroneal tubercle
Sports Medicine Arthroscopy Rehabilitation Therapy & Technology, 2014Co-Authors: Ezequiel Palmanovich, Lior Laver, Yaron S Brin, Iftach Hetsroni, Meir NyskaAbstract:Tear of the Peroneus longus in association with a prominent peroneal tubercle is rare. Recently we treated two long distance runners who developed lateral ankle pain. Maximum tenderness was located over the lateral surface of the heel in the area of the peroneal tendons. Imaging disclosed a tear of the Peroneus longus at the area of the peroneal tubercle. Following resection of the peroneal tubercle and repair of the Peroneus longus, both patients regained full activity with no pain. This report describes the clinical presentation and surgical management of this rare injury.
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Peroneus longus tear and its relation to the peroneal tubercle a review of the literature
Muscles ligaments and tendons journal, 2011Co-Authors: Ezequiel Palmanovich, Lior Laver, Yaron S Brin, Iftach Hetsroni, Evgeny Kotz, Gideon Mann, Meir NyskaAbstract:Tear of the peroneal tendon may occur in different anatomical sites. The most prevalent site is around the lateral malleolus. Tear of the Peroneus longus at the level of the peroneal tubercle is unusual. Anatomically, the lateral surface of the calcaneous can be divided into thirds. The middle third includes the peroneal tubercle, which separates the Peroneus longus tendon from the Peroneus brevis. An anatomic variation of the peroneal tubercle may lead to chronic irritation of the Peroneus longus tendon that could ultimately cause a longitudinal tear. We conducted this review aiming to clarify the anatomy, biomechanics of the tendon, and the clinical features of tear of the Peroneus longus tendon on the lateral surface of the calcaneous due to an enlarged peroneal tubercle. In addition, we reviewed the diagnostic and treatment options of peroneal tendon tears at this site.
Ahmet Ugur Turhan - One of the best experts on this subject based on the ideXlab platform.
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magnetic resonance imagination of the Peroneus longus tendon after anterior cruciate ligament reconstruction
Knee Surgery Sports Traumatology Arthroscopy, 2009Co-Authors: Servet Kerimoglu, Polat Kosucu, Murat Livaoglu, Ismail Yukunc, Ahmet Ugur TurhanAbstract:Several studies report that tendons can regenerate after harvesting. These studies have been performed especially in patellar and hamstring tendons. At our institution, 10 cm length of full thickness Peroneus longus tendon has been harvested to reconstruct torn anterior cruciate ligament since 1997 as a different graft source. The aim of this study was to investigate whether the Peroneus longus tendon used the anterior cruciate ligament reconstruction has a regeneration potential or not. Twelve patients, who had originally undergone harvesting of the Peroneus longus tendon for the primary surgery of the anterior cruciate ligament reconstruction, underwent magnetic resonance imaging (MRI). Images of both legs were acquired simultaneously with the use of the scanner’s extremity coil, as we aimed to compare harvested Peroneus longus tendon with the other leg’s Peroneus longus tendon (healthy side) for evaluation of the regeneration potential. The average age of the patients was 31 years. There were eight right and four left legs. The average time interval was 52 months between ligament surgery and MRI. In all patients, a varying amount of the regeneration of the Peroneus longus tendon was seen on the MRI images. Although the extent of PLT regeneration in proximal sections seemed better than in mid- and distal sections, there was no statistical difference between sections (P = 0.130). These data show that the Peroneus longus tendon has a regeneration potential after harvesting for anterior cruciate ligament reconstruction.