{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T21:02:26Z","timestamp":1789678946048,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The search for the ideal autograft for anterior cruciate ligament (ACL) reconstruction (ACLR) remains a longstanding challenge in orthopaedic surgery, as each available graft possesses distinct advantages and inherent limitations. The peroneus longus tendon (PLT) has emerged as an alternative autograft, expanding graft options without further compromising the injured knee. Initially regarded with caution because of concerns regarding its role in foot and ankle biomechanics, the PLT has evolved into an increasingly recognised alternative autograft option supported by a growing body of anatomical, biomechanical and clinical evidence. The accumulating evidence suggests that the PLT provides reliable graft characteristics, while available comparative studies report broadly similar short\u2010 to mid\u2010term clinical outcomes to established autografts and generally favourable donor\u2010site function. However, the predominantly retrospective and heterogeneous evidence base does not establish graft equivalence or noninferiority. Although important questions remain, particularly regarding sport\u2010specific ankle performance in high\u2010demand athletes, long\u2010term donor\u2010site consequences and optimal harvest techniques, the available evidence supports consideration of the PLT as an additional autograft option for ACLR. Rather than establishing graft superiority, this editorial synthesises the current evidence, highlights the strengths and limitations of the PLT, and provides a practical framework for individualised ACL graft selection.<\/jats:p>","DOI":"10.1002\/ksa.70616","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:09:07Z","timestamp":1789675747000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Peroneus longus tendon autograft for anterior cruciate ligament reconstruction: Current evidence, donor\u2010site complications and patient selection"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1818-9422","authenticated-orcid":false,"given":"Ahmet Emin","family":"Okutan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Samsun University Samsun T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0801-7400","authenticated-orcid":false,"given":"Nicolaas","family":"Budhiparama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Airlangga Surabaya Indonesia"},{"name":"Department of Orthopaedics Leiden University Medical Centre Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirco","family":"Herbort","sequence":"additional","affiliation":[{"name":"OCM Clinic Munich University of Muenster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zkan","family":"K\u00f6se","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Antalya Training and Research Hospital University of Health Sciences Antalya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolf","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Martin Luther Hospital Berlin  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Wierer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Paracelsus Medical University Salzburg Austria"},{"name":"Research Unit for Orthopaedic Sports Medicine and Injury Prevention, Private University for Health Sciences, Medical Informatics and Technology Hall in Tirol Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunay","family":"Erden","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Ac\u0131badem Fulya Hospital Sports Medicine Center Istanbul T\u00fcrkiye"},{"name":"Department of Orthopaedics and Traumatology Istanbul Health and Technology University Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[{"name":"Gelenkpunkt \u2013 Sports and Joint Surgery Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Tischer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Malteser Waldkrankenhaus Erlangen Erlangen Germany"},{"name":"Department of Orthopaedic Surgery University Medicine Rostock Rostock Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael T.","family":"Hirschmann","sequence":"additional","affiliation":[{"name":"University Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland Bruderholz Switzerland"},{"name":"Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine &amp; Biomechanics, University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Seil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Centre Hospitalier Luxembourg \u2013 Clinique d'Eich Luxembourg Luxembourg"},{"name":"Luxembourg Institute of Research in Orthopaedics Medicine and Science in Sports Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet U\u011fur","family":"Turhan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology School of Medicine, Karadeniz Technical University Trabzon T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9545-7454","authenticated-orcid":false,"given":"Mahmut Enes","family":"Kayaalp","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul Fatih 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