PERONEUS LONGUS – A PROMISING AUTOGRAFT FOR ACL RECONSTRUCTION SURGERY!

Background: Anterior cruciate ligament (ACL) injuries are among the most common ligamentous injuries of the knee, often requiring surgical reconstruction to restore joint stability and function. This paper aims to compare ACL reconstruction using peroneus longus tendon and hamstring grafts, analyzing their biomechanical properties, clinical outcomes, and potential complications. By evaluating the advantages and limitations of each graft, this study seeks to provide insights that could inform surgical decisionmaking and optimize patient outcomes in ACL reconstruction. Materials & Methods: A total of 80 patients diagnosed with ACL tears requiring surgical intervention were included and divided into two equal groups of 40 patients each: the Peroneus Group and the Hamstring Group. Patients were evaluated at 3, 6, and 12 months post-operatively. The primary outcome measures included: functional outcomes, knee stability, graft integrity, and donor site morbidity. The functional outcomes, as measured by IKDC, Lysholm, FADI, a Results: nd AOFAS scores, were significantly better in the Peroneus Group. The higher IKDC and Lysholm scores reflect improved knee function, while the FADI and AOFAS scores highlight better preservation of ankle and foot function. The peroneus longus tendon is a pr Conclusion: omising alternative to the hamstring tendon for ACL reconstruction