Outcome of Arthroscopic Reconstruction of Anterior Cruciate Ligament Injury: A Comparison of Peroneus Longus Tendon and Semitendinosus-Gracilis Tendon Autograft

Background: Outcome studies on ACL reconstruction have assessed and compared different surgical techniques. Aim of the study: This study aimed to compare the outcomes of anterior cruciate ligament restoration with semitendinosus-gracilis tendon autograft and peroneus longus tendon autograft at 2 years post-surgery. Methods: This study was conducted in Department of Orthopaedics & Traumatology, TMSS Medical College & Rafatullah Community Hospital (TMC & RCH), Bogura, Bangladesh, Uttara Adhunik Medical College and Hospital, Uttara, Dhaka., Bangladesh & Enam Medical College Hospital, Savar, Dhaka, Bangladesh. A prospective examination was conducted on 50 patients with isolated anterior cruciate ligament damage who had peroneus longus tendon autograft reconstruction. Out of these, 42 patients were followed up. The semitendinosus-gracilis tendon autograft group consisted of 50 consecutive patients who met the same criteria, with 45 accessible for follow-up. All data was gathered, documented in a Microsoft Excel spreadsheet, and analyzed with descriptive statistics in SPSS 16.0. All data was collected, documented in a Microsoft Excel work sheet, and analyzed using descriptive statistics in SPSS 16.0. Results: Ninety percent of patients with peroneus longus tendon had good or excellent results, while 91% had good or excellent results with semitendinosus-gracilis tendon. 86% of patients in the peroneus longus tendon group were assessed as normal or if patients with ruptures or atraumatic failures were assumed to have scored grade D, then there were 82% in the peroneus longus group and 89% in the semitendinosus-gracilis tendon group scoring grade A or B. There was no significant difference between the peroneus longus and semitendinosusgracilis tendon groups in any of the other IKDC subcategories at 2 years. In the hamstring tendon group anterior kneeling pain was present in 6% at both 1 and 2 years (P < 0.0002). Conclusion: In terms of clinical stability, range of motion, and general symptoms, patients undergoing ACL restoration with a semitendinosus-gracilis tendon graft had the same outcome as those receiving a peroneus longus tendon graft. There was no difference in the return to level I or II sports, while more peroneus longus tendon patients reached level I