Variation of peroneus longus tendon dimensions (length and thickness) with anthropometric measures of patients (height, weight, age, and body mass index) in skeletally mature patients.
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Abstract
Background: ACL reconstruction is the most common surgery to repair ruptured ACL. There are many graft choices in ACL reconstruction. Graft decision is the most important preoperative consideration in ACL reconstruction. It can minimize re-rupture incident and provide optimal knee stability after surgery.
Aim: This study aims to investigate the variation of peroneus longus tendon dimensions (length and thickness) with anthropometric measures of patients (height, weight, age, and body mass index) in skeletally mature patients. Methods: A profile of 34 patients (25 males, 9 females with mean age of 28.5±8.2 (Yrs) aged from 18 to 30 years who received PLT autograft for ACL reconstruction in this prospective observational study. Demographic characteristics of the patients and leg length, and proximal and distal leg diameters were recorded before the operation. The PLT autograft diameter and length were measured during the surgery.
Results: During the period of the study, 37 patients underwent ACL reconstruction. Three patients were excluded and 34 patients fulfilled the inclusion criteria. A statistically significant correlation was found between the graft diameter and length and weight, height, body mass index (BMI), leg length, and proximal and distal leg diameters (p<0.01). Distal leg diameter had the highest correlation coefficient for the PLT autograft diameter (r=0.891), while the height had the highest correlation coefficient for the PLT autograft length (r=0.871). In 75% of patients were peroneus longus tendon is sufficient to for ACL reconstruction.
Conclusion: Anthropometric parameters of height, weight, BMI, leg length, and proximal and distal leg diameters may be helpful for surgeons to predict the diameter and length of the PLT autograft before surgery. Among these parameters, we believe that distal leg diameter is a particularly important parameter in estimating the autograft diameter. Although the results of this study are promising, further large-scale, long-term, prospective studies are needed to reach more accurate results.
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References
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