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Studies comparing PLT autograft versus HT autograft were included in this analysis and the following data were extracted from studies meeting the inclusion criteria: graft diameter, functional outcomes (Tegner activity scale, Lysholm score, and International Knee Documentation Committee (IKDC) subjective score), knee laxity (Lachman test), and complications (donor site pain or paresthesia, graft failure). Besides, the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the Foot and Ankle Disability Index (FADI) pre\u2010operation and at last follow\u2010up were also compared among patients using PLT autograft. Meta\u2010analysis was applied using Review Manager 5.3 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010three studies including 925 patients with ACL reconstruction met inclusion criteria. Of these, 5 studies included a direct comparison of PLT autograft (164 patients) versus HT autograft (174 patients). No significant difference was observed between PLT and HT autografts for Tegner activity scale, Lachman test, donor site pain, or graft failure. However, PLT groups demonstrated better Lysholm score (mean difference between PLT and HT groups, 1.55; 95% CI 0.20\u20132.89;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) and IKDC subjective score (mean difference between PLT and HT groups, 3.24; 95% CI 0.29\u20136.19;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). No difference of FADI was found (n.s.) but AOFAS was slightly decreased at last post\u2010operative follow\u2010up for patients with PLT autograft compared with pre\u2010operative scores (mean difference of 0.31, 95% CI 0.07\u20130.54,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PLT autograft demonstrated comparable functional outcomes and graft survival rates compared with HT autograft for ACL reconstruction. However, a slight decrease in AOFAS score should be considered during surgical planning. Hence, the PLT is a suitable autograft harvested outside the knee for ACL reconstruction to avoid the complication of quadriceps\u2010hamstring imbalance which can occur when harvesting autografts from the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level II.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-020-06279-9","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T12:02:20Z","timestamp":1601208140000},"page":"2869-2879","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":106,"title":["Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and 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Department of Orthopaedic Surgery University of Pittsburgh Medical Center, University of Pittsburgh 3471 Fifth Avenue, Suite 1010, Kaufmann Building 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica A.","family":"Linde","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center, University of Pittsburgh 3471 Fifth Avenue, Suite 1010, Kaufmann Building 15213 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Smolinski","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery University of Pittsburgh Medical Center, University of Pittsburgh 3471 Fifth Avenue, Suite 1010, Kaufmann Building 15213 Pittsburgh PA USA"},{"name":"<!--<label>4<\/label>--> Department of Mechanical and Material Science Engineering University of Pittsburgh 15213 Pittsburgh PA 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