{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:24:02Z","timestamp":1793283842568,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T00:00:00Z","timestamp":1552608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T00:00:00Z","timestamp":1552608000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>A peroneus longus tendon autograft is used in many orthopaedic procedures and it is biomechanically comparable to a hamstring tendon autograft. Despite its potential, there are few studies that have evaluated the use of the peroneus longus tendon in ACL reconstruction. The aim of this study was to compare the clinical outcome and donor site morbidity of ACL reconstruction with hamstring tendon autografts versus peroneus longus tendon autografts in patients with an isolated ACL injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who underwent isolated single\u2010bundle ACL reconstruction were allocated to two groups (hamstring and peroneus longus) and observed prospectively. Graft diameter was measured intraoperatively. Functional scores (IKDC, modified Cincinnati and Lysholm scores) were recorded preoperatively and 1 year after surgery. Donor site morbidities were assessed with thigh circumference measurements and ankle scoring with the AOFAS and FADI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two patients (hamstring <jats:italic>n<\/jats:italic>\u2009=\u200928, peroneus <jats:italic>n<\/jats:italic>\u2009=\u200924) met the inclusion criteria. The peroneus longus graft diameter (8.8\u2009\u00b1\u20090.7\u00a0mm) was significantly larger than the hamstring diameter (8.2\u2009\u00b1\u20090.8\u00a0mm) (<jats:italic>p<\/jats:italic>\u2009=\u20090.012). There were no significant differences between the pre\u2010 and 1\u2010year postoperative score between the hamstring and peroneus longus groups in the IKDC (n.s), modified Cincinnati (n.s), and Lysholm (n.s). The mean for the AOFAS was 97.3\u2009\u00b1\u20094.2 and for the FADI 98\u2009\u00b1\u20093.4\u00a0in the peroneus longus group, with a significant decrease in thigh circumference in the hamstring group (<jats:italic>p<\/jats:italic>\u2009=\u20090.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anterior cruciate ligament reconstruction with peroneus longus autografts produces a functional score (IKDC, modified Cincinnati, Lysholm) comparable to that of hamstring autografts at a 1\u2010year follow\u2010up, with the advantages of larger graft diameter, less thigh hypotrophy and excellent ankle function based on AOFAS and FADI scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prospective cohort study, Level II.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-019-05455-w","type":"journal-article","created":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T16:15:08Z","timestamp":1552666508000},"page":"3552-3559","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":102,"title":["Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single\u2010bundle ACL reconstruction"],"prefix":"10.1002","volume":"27","author":[{"given":"Sholahuddin","family":"Rhatomy","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology, Dr Soeradji Tirtonegoro General Hospital, Faculty of Medicine Universitas Gadjah Mada Yogyakarta Indonesia"},{"name":"<!--<label>4<\/label>--> RSUP dr. Soeradji Tirtonegoro Jln. KRT. dr Soeradji Tirtonegoro No. 1 Klaten Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asa Ibrahim Zainal","family":"Asikin","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Traumatology, Dr Sardjito General Hospital, Faculty of Medicine Universitas Gadjah Mada Yogyakarta Indonesia"},{"name":"<!--<label>5<\/label>--> RSUP dr. Sardjito Jalan Kesehatan No. 1, Sinduadi, Mlati, Sinduadi, Mlati, Kabupaten Sleman 55281 Daerah Istimewa Yogyakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anggun E.","family":"Wardani","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology, Dr Soeradji Tirtonegoro General Hospital, Faculty of Medicine Universitas Gadjah Mada Yogyakarta Indonesia"},{"name":"<!--<label>4<\/label>--> RSUP dr. Soeradji Tirtonegoro Jln. KRT. dr Soeradji Tirtonegoro No. 1 Klaten Indonesia"},{"name":"<!--<label>6<\/label>--> Department of Radiology, Dr Soeradji Tirtonegoro General Hospital, Faculty of Medicine Universitas Gadjah Mada Yogyakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tedjo","family":"Rukmoyo","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Traumatology, Dr Sardjito General Hospital, Faculty of Medicine Universitas Gadjah Mada Yogyakarta Indonesia"},{"name":"<!--<label>5<\/label>--> RSUP dr. Sardjito Jalan Kesehatan No. 1, Sinduadi, Mlati, Sinduadi, Mlati, Kabupaten Sleman 55281 Daerah Istimewa Yogyakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imelda","family":"Lumban\u2010Gaol","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Nicolaas Institute of Constructive Orthopaedics Research and Education Foundation for Arthroplasty and Sports Medicine at Medistra Hospital Jl. Jendral Gatot Subroto Kav. 59, 6th floor 12950 Jakarta DKI Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0801-7400","authenticated-orcid":false,"given":"Nicolaas C.","family":"Budhiparama","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Nicolaas Institute of Constructive Orthopaedics Research and Education Foundation for Arthroplasty and Sports Medicine at Medistra Hospital Jl. Jendral Gatot Subroto Kav. 59, 6th floor 12950 Jakarta DKI Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,15]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0095399703258608"},{"key":"e_1_2_11_3_2","first-page":"555","article-title":"The anterior cruciate ligament reconstruction with the peroneus longus tendon: a biomechanical and clinical evaluation of the donor ankle morbidity","volume":"98","author":"Angthong C","year":"2015","journal-title":"J Med Assoc 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August 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 February 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 March 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical 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