Comparison of Clinical Outcome Between Peroneus Longus Tendon Auto graft versus Hamstring Tendon Auto graft for Anterior Cruciate Ligament Reconstruction, Which One is Better?: A Systematic Review and Meta-analysis
Authors: Dharmayuda Cokorda Gde Oka , Deriano Benedictus 
Published: May 2022

Introduction: Anterior cruciate ligament injury is quite possibly the most widely recognized knee injury, with an expected 200,000 wounds in the US every year. ACL reconstruction (ACLR) is the current best treatment choice for reestablishing knee stability, to decrease the gamble of optional meniscal tears and indicative osteo-joint pain, and requires either an autograft, allograft, or artificial graft. Hamstring ligament (HT) autograft is the most well-known unite decision for ACLR overall. As of late, the peroneus longus ligament (PLT) autograft, gathered simply proximal and back to the sidelong lower leg, has been investigated as an elective autograft for ACLR. The point of this study is to complete a meta-analysis of: (1) the accessible information for PLT autograft in regards to functional results, knee laxity, contributor site torment or paresthesia, and join endurance and (2) clinical examinations looking at PLT autograft versus HT autograft in leg tendon recreation.
Methods: This study included unique articles providing details regarding (1) clinical investigations of ACLR (single-bundle or double-bundle) utilizing PLT autograft (anterior-half, posterior-half, or full-thickness); and (2) studies straightforwardly contrasting results of PLT versus HT. All strategies were essential tendon reproductions performed for indicative chronic ACL injury, without meniscal injury.
Result: We performed a subgroup analysis to evaluate the IKDC score outcome between PLT versus HT autograft in ACLR. (7–10 We found that there is significant difference statistically between these two groups in IKDC score outcome. (mean difference 0.60 (-0.99, 2.19) ; 95% CI, P = <0,00001); (mean difference 3.16; 95% CI, = 2.00, 4.32). We performed a subgroup analysis to evaluate Lysholm Score between PLT vs HT in ACLR. From three studies added in this subgroup analysis, we found no statistical difference in between those two groups for the Lysholm score. (mean difference 1.56; 95% CI, P = 0.05); (mean difference 1.56; 95% CI, 0.03, 3.09).
Discussion: Useful results utilizing PLT autograft were satisfactory with 83.96% of cases showing great to amazing outcomes by Lysholm score and 75.82% of cases showing typical or almost ordinary IKDC emotional score. The mean IKDC abstract score was steady with the scores revealed by the MOON group and others. The IKDC emotional score connected with the Lysholm score and adjusted Cincinnati score. Knee laxity results were similar to other reference concentrates on utilizing different autograft sources. Pivot shift test was negative in 80.7% of ACLR patients with PLT autograft. ACLR.Four studies were included in this stud, giving direct correlations among PLT and HT autografts. No significant differences were found as far as Tegner movement scale, knee laxity (Lachman test grade 0, Lachman test grade 0 or 1), contributor site agony or paresthesia, and failure rates between 138 PLT and 144 HT autografts. Interestingly, a significantly higher mean Lysholm score (p = 0.05) and IKDC abstract score (p = 0.00001) were found in the PLT bunch. Rhatomy et al. straightforwardly thought about the distance across of 4-strand PLT and 4-strand HT, showing a PLT mean width of 8.8 ± 0.7 mm versus 8.2 ± 0.8 mm for HT. Spragg et al. detailed the probability of a patient requiring amendment ACLR was 0.82 times lower for every 0.5 mm steady expansion in diameter within the range from 7.0 to 9.0 mm, and one more review observed a huge positive connection between's graft diameter and IKDC score.
Conclusion: PLT autograft had fundamentally better Lysholm and IKDC subjective scores compared to HT autograft. Given these discoveries, PLT autograft is an appropriate elective join decision from outside the knee for patients going through ACLR.

Key words: ACLR, PLT, HT.