Abstract

Aim: The aim of this study to determine the Posterior Cruciate Ligament reconstruction with
peroneus longus tendon graft.
Methods: 12 patients with chronic injury (> 6 months), Presence of an ‘isolated’ PCL were
included in this study. The diagnosis of chronic ligament rupture was established with clinical
examination and imaging (Magnetic resonance imaging, MRI). Post-operative functional
outcome (IKDC, Modified Cincinnati, and Lysholm) were recorded 18 months after surgery
with direct patient examination and a guided-interview by a single orthopaedic surgeon
outside the surgical team.
Results: Mean IKDC score was 48.55±10.69 pre-operatively and 79.88±3 At 18 month’s
follow-up. Mean score of Modified Cincinnati was 49.66±9.69 pre-operatively and
80.69±3.98. Mean Lysholm score was 50.22±10.87 pre-operatively and 81.99±4.59 at 18
months follow-up. Single hop test and triple hop test after 18 months post operatively showed
96.17 ± 2.64 and 92.88 ± 2.67, respectively. Table 3 for the evaluation of donor site
morbidity, ankle functional score is measured with AOFAS and FADI score. The mean of
AOFAS score of donor ankle was 95.61 ± 1.97 and FADI score was 95.89 ± 1.78. Result of
thigh circumference revealed no deference between injury site and contra lateral healthy site
(p > 0.05). The mean circumference in 10 cm proximal to upper patellar bone was
43.55±5.66 at injury site and 44.58±3.69 at contra lateral healthy site. The mean
circumference in 20 cm proximal to upper patellar bone was 50.33±3.96 at injury site and
51.78±4.19 at contra lateral healthy site.
Conclusion: Single bundle PCL reconstruction with peroneus long us tendon auto graft had
improvement functional outcome (IKDC, Modified Cincinnati, Lysholm) and shown
excellent ankle function and serial hop test result at 18 months evaluation