Comparative Study Of The Reconstruction Of Anterior Cruciate Ligament With Peroneal Longus Tendon And Hamstring Tendon

Objective: Objective: To compare the effect of reconstruction of anterior cruciate ligament(ACL)with peroneal longus tendon(PLT)and hamstring tendon(HT)using Lysholm score,IKDC score,magnetic resonance image(MRI),etc.Methods: Fifty-six patients with ACL rupture were treated with ACL reconstruction.Among them,28 patients were treated with PLT reconstruction(treatment group)and 28 patients were treated with HT reconstruction(control group).There were no significant differences in gender,age,injury side,course of disease,preoperative Lachman test,Lysholm score,IKDC score,joint mobility,MRI image between the two groups(P>0.05).Result: The incision healed in the first stage after operation in both groups,and there were no significant neurovascular injuries and knee synovitis complications.Comparing the MRI of the two groups after operation,there was no significant difference between the treatment group and the control.There were no complications in the two groups.There was no significant difference in The IKDC score and Lysholm score between the treatment group and the control group at 6 and 12 months after operation(P>0.05).There was no significant difference in Lachman test between the two groups at 6 and 12 months after operation(P>0.05).At 6 and 12 months after operation,There was no significant difference in the joint activity between the treatment group and the control group(P>0.05).The degree of tibial anterior displacement decreased significantly in both groups before and after operation(P<0.05),but there was no significant difference between the two groups(P>0.05).Discussion: In traditional surgery,HT is often used as reconstruction material.However,there are many factors to be considered in the formulation of operation plan for double cruciate ligament injury,such as limb blood supply,accompanied by a variety of structural injuries,so the requirement for reconstruction is high.In the recovery of knee stability,there was no significant difference between the two groups.In terms of early recovery of knee function and subjective satisfaction of patients,there was also no significant difference between the two groups.Conclusion: Compared with HT,ACL reconstruction with PLT is easier to operate.Besides the early recovery of knee joint function is good and it is worth popularizing and applying widely.