Skip to main content Skip to main navigation menu Skip to site footer

Tidak ada perbedaan morbiditas pada ankle antara kaki pasien yang peroneus longusnya digunakan untuk autograft rekonstruksi ACL 12 bulan pasca operasi dibandingkan dengan sisi kontralateralnya

  • Ida Bagus Deny Prayudi ,
  • I Ketut Suyasa ,
  • IGN Wien Aryana ,
  • I Wayan Subawa ,

Abstract

Background: ACL injuries often require surgery. The use of the peroneus longus tendon in ACL reconstruction has been reported to have significant potential benefits, such as preserving the hamstring tendon. However, the effect on the ankle is vital to consider before surgery.

Methods: This cohort study evaluates ankle morbidity by measuring the American Orthopedic Foot and Ankle Society (AOFAS) score, plantar flexion and eversion strength, and Clarke's angle on both sides of the extremity. Data were collected from patients undergoing ACL reconstruction using an autograft with the peroneus longus tendon. Statistical analysis was employed with the SPSS v.26 software.

Results: This study involved 64 patients with an average AOFAS score of 58.88 (donor) and 70.12 (contralateral). Bivariate test results showed no significant difference in AOFAS scores between the two sides (p=0.085). The mean value of plantar flexion strength was 62.23 (donor) and 66.77 (contralateral), without any significant difference (p=0.489). In addition, the average value of Clarke's angle was 59.10 (donor) and 69.90 (contralateral), without any significant difference (p=0.099).

Conclusion: There is no statistically significant difference in the ankle of patients who use the peroneus longus tendon as an autograft in ACL reconstruction

 

Latar Belakang: Kejadian cedera ACL seringkali membutuhkan operasi pembedahan. Penggunaan tendon peroneus longus dalam rekonstruksi ACL telah dilaporkan memiliki potensi manfaat yang signifikan seperti mampu mempertahankan tendon hamstring. Namun, efeknya pada pergelangan kaki penting untuk dipertimbangkan sebelum operasi.

Metode: Penelitian ini merupakan studi cross-sectional yang mengevaluasi morbiditas pergelangan kaki dengan pengukuran skor American Orthopedic Foot and Ankle Society (AOFAS), kekuatan plantar fleksi dan eversi, serta clarke’s angle pada kedua sisi ekstremitas. Data dikumpulkan dari pasien yang menjalani rekonstruksi ACL menggunakan autograft dengan tendon peroneus longus. Analisis statistik menggunakan uji Mann-Whitney dengan perangkat lunak SPSS v.26.

Hasil: Penelitian ini melibatkan sebanyak 64 pasien dengan skor rata-rata AOFAS adalah 58,88 (donor) dan 70,12 (kontralateral). Hasil uji Mann whitney menunjukkan tidak ada perbedaan yang signifikan dalam skor AOFAS antara kedua sisi (p=0,085). Nilai rata-rata kekuatan plantar fleksi adalah 62,23 (donor) dan 66,77 (kontralateral), tanpa adanya perbedaan yang signifikan (p=0,489). Selain itu, nilai rata-rata clarke’s angle adalah 59,10 (donor) dan 69,90 (kontralateral), tanpa adanya perbedaan yang signifikan (p=0,099).

Simpulan: Tidak ada perbedaan statistik signifikan pada pergelangan kaki pasien yang menggunakan tendon peroneus longus sebagai autograft dalam rekonstruksi ACL

References

  1. Rhatomy S, Hartoko L, Setyawan R, Soekarno NR, Zainal Asikin AI, Pridianto D, et al. Single bundle ACL reconstruction with peroneus longus tendon graft: 2-years follow-up. J Clin Orthop Trauma [Internet]. 2020;11:S332–6. Available from: https://doi.org/10.1016/j.jcot.2019.09.004
  2. Angthong C, Chernchujit B, Apivatgaroon A, Chaijenkit K, Nualon P, Suchao-in K. The Anterior Cruciate Ligament Reconstruction with the Peroneus Longus Tendon: A Biomechanical and Clinical Evaluation of the Donor Ankle Morbidity. J Med Assoc Thai. 2015 Jun;98(6):555–60.
  3. Khan IA, Mahabadi N, D’Abarno A, Varacallo M. Anatomy, Bony Pelvis and Lower Limb: Leg Lateral Compartment. In Treasure Island (FL); 2024.
  4. Wong AK, Calvo M R, Schaffler BC, Nixon RA, Carrero LC, Neufeld E V, et al. Biomechanical and geometric characterization of peroneus longus allografts with respect to age. Clin Biomech (Bristol, Avon). 2019 Jul;67:90–5.
  5. Zhao J, Huangfu X. The biomechanical and clinical application of using the anterior half of the peroneus longus tendon as an autograft source. Am J Sports Med. 2012 Mar;40(3):662–71.
  6. Hallinan JTPD, Wang W, Pathria MN, Smitaman E, Huang BK. The peroneus longus muscle and tendon: a review of its anatomy and pathology. Skeletal Radiol. 2019 Sep;48(9):1329–44.
  7. Rudy, Mustamsir E, Phatama KY. Tensile strength comparison between peroneus longus and hamstring tendons: A biomechanical study. Int J Surg Open [Internet]. 2017;9(December):41–4. Available from: https://doi.org/10.1016/j.ijso.2017.10.002
  8. Bavdek R, Zdolšek A, Strojnik V, Dolenec A. Peroneal muscle activity during different types of walking. J Foot Ankle Res. 2018;11:50.
  9. Lezak B, Varacallo M. Anatomy, Bony Pelvis and Lower Limb: Calf Peroneus Longus Muscle. In Treasure Island (FL); 2024.
  10. Arliani GG, Astur DC, Moraes ER, Kaleka CC, Jalikjian W, Golano P, et al. Three dimensional anatomy of the anterior cruciate ligament: a new approach in anatomical orthopedic studies and a literature review. Open access J Sport Med. 2012;3:183–8.
  11. Marieswaran M, Jain I, Garg B, Sharma V, Kalyanasundaram D. A Review on Biomechanics of Anterior Cruciate Ligament and Materials for Reconstruction. Appl bionics Biomech. 2018;2018:4657824.
  12. Domnick C, Raschke MJ, Herbort M. Biomechanics of the anterior cruciate ligament: Physiology, rupture and reconstruction techniques. World J Orthop. 2016 Feb;7(2):82–93.
  13. Raines BT, Naclerio E, Sherman SL. Management of Anterior Cruciate Ligament Injury: What’s In and What’s Out? Indian J Orthop. 2017;51(5):563–75.
  14. Perry D, O’connell M. Evaluation and management of anterior cruciate ligament injuries: A focused review. Osteopath Fam Physician. 2015;7(2):8–12.
  15. Siegel L, Vandenakker-Albanese C, Siegel D. Anterior cruciate ligament injuries: anatomy, physiology, biomechanics, and management. Clin J Sport Med Off J Can Acad Sport Med. 2012 Jul;22(4):349–55.
  16. Filbay SR, Grindem H. Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. Best Pract Res Clin Rheumatol. 2019 Feb;33(1):33–47.
  17. Mann G, Nyska M, Hetsroni I, Karlsson J. Scoring systems for evaluating ankle function. Foot Ankle Clin. 2006 Sep;11(3):509–19.
  18. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot ankle Int. 1994 Jul;15(7):349–53.
  19. Gonosova Z, Linduska P, Bizovska L, Svoboda Z. Reliability of Ankle−Foot Complex Isokinetic Strength Assessment Using the Isomed 2000 Dynamometer. Medicina (Kaunas). 2018 Jun;54(3).
  20. Anthony, Pakasi TA, Kurniarobbi J. Functional movement screen (Fms) as a determinant factor to assess the risk of injuries in young athletes at jakarta province, indonesia. Bali Med J. 2021;10(3):895–900.
  21. Agung G, Yudha K, Kawiyana IKS, Gede K, Ridia M, Suyasa IK, et al. The use of compression stockings produces lower Interleukin-6 ( IL-6 ) levels , Higher American Orthopaedic Foot and Ankle Society Score ( AOFAS ), and does not produce higher alkaline phosphatase level in postoperative patients with fracture around the ankle. 2021;12(1):208–11.
  22. Kerimoğlu S, Aynaci O, Saraçoğlu M, Aydin H, Turhan AU. [Anterior cruciate ligament reconstruction with the peroneus longus tendon]. Acta Orthop Traumatol Turc. 2008;42(1):38–43.

How to Cite

Prayudi, I. B. D., Suyasa, I. K., Aryana, I. W., & Subawa, I. W. (2024). Tidak ada perbedaan morbiditas pada ankle antara kaki pasien yang peroneus longusnya digunakan untuk autograft rekonstruksi ACL 12 bulan pasca operasi dibandingkan dengan sisi kontralateralnya. Medicina, 55(1), 54–58. https://doi.org/10.15562/medicina.v55i1.1267

HTML
31

Total
15

Share