{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:59:08Z","timestamp":1785599948059,"version":"3.56.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"DOI":"10.1007\/s00590-026-04907-7","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:49:28Z","timestamp":1785599368000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Peroneus longus autograft versus hamstring tendon autograft in primary anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomised controlled trials"],"prefix":"10.1007","volume":"36","author":[{"given":"Clevio","family":"Desouza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Nighot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akash","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"issue":"1","key":"4907_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11751-007-0016-6","volume":"2","author":"K Mader","year":"2007","unstructured":"Mader K, Pennig D, Dargel J, Gotter M, Koebke J, Schmidt-Wiethoff R (2007) Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction. Strategies Trauma Limb Reconstr 2(1):1\u201312. https:\/\/doi.org\/10.1007\/s11751-007-0016-6","journal-title":"Strategies Trauma Limb Reconstr"},{"issue":"4","key":"4907_CR2","doi-asserted-by":"publisher","first-page":"483","DOI":"10.22271\/ortho.2019.v5.i4i.1719","volume":"5","author":"C Desouza","year":"2019","unstructured":"Desouza C, Nathani G, Bhamare DS, Shevate I (2019) Functional results after anterior cruciate ligament reconstruction using the bone-patella tendon-bone method. Int J Orthop Sci 5(4):483\u2013485. https:\/\/doi.org\/10.22271\/ortho.2019.v5.i4i.1719","journal-title":"Int J Orthop Sci"},{"issue":"3","key":"4907_CR3","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1249\/JSR.0000000000000053","volume":"13","author":"RJ Acevedo","year":"2014","unstructured":"Acevedo RJ, Rivera-Vega A, Miranda G, Micheo W (2014) Anterior cruciate ligament injury: identification of risk factors and prevention strategies. Curr Sports Med Rep 13(3):186\u2013191. https:\/\/doi.org\/10.1249\/JSR.0000000000000053","journal-title":"Curr Sports Med Rep"},{"issue":"9","key":"4907_CR4","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1016\/j.arthro.2006.06.005","volume":"22","author":"AM Buoncristiani","year":"2006","unstructured":"Buoncristiani AM, Tjoumakaris FP, Starman JS, Ferretti M, Fu FH (2006) Anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy 22(9):1000\u20131006. https:\/\/doi.org\/10.1016\/j.arthro.2006.06.005","journal-title":"Arthroscopy"},{"issue":"1","key":"4907_CR5","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1177\/03635465030310011501","volume":"31","author":"KB Freedman","year":"2003","unstructured":"Freedman KB, D\u2019Amato MJ, Nedeff DD, Kaz A, Bach BR (2003) Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 31(1):2\u201311. https:\/\/doi.org\/10.1177\/03635465030310011501","journal-title":"Am J Sports Med"},{"issue":"4","key":"4907_CR6","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1056\/NEJMoa0907797","volume":"363","author":"RB Frobell","year":"2010","unstructured":"Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS (2010) A randomized trial of treatment for acute anterior cruciate ligament tears. N Engl J Med 363(4):331\u2013342. https:\/\/doi.org\/10.1056\/NEJMoa0907797","journal-title":"N Engl J Med"},{"issue":"4","key":"4907_CR7","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1097\/JSM.0b013e3182580cd0","volume":"22","author":"L Siegel","year":"2012","unstructured":"Siegel L, Vandenakker-Albanese C, Siegel D (2012) Anterior cruciate ligament injuries: anatomy, physiology, biomechanics, and management. Clin J Sport Med 22(4):349\u2013355. https:\/\/doi.org\/10.1097\/JSM.0b013e3182580cd0","journal-title":"Clin J Sport Med"},{"issue":"7","key":"4907_CR8","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1007\/s00167-009-0813-1","volume":"17","author":"E Alentorn-Geli","year":"2009","unstructured":"Alentorn-Geli E, Myer GD, Silvers HJ et al (2009) Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc 17(7):705\u2013729. https:\/\/doi.org\/10.1007\/s00167-009-0813-1","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"4907_CR9","first-page":"917","volume":"82","author":"F Cimino","year":"2010","unstructured":"Cimino F, Volk BS, Setter D (2010) Anterior cruciate ligament injury: diagnosis, management, and prevention. Am Fam Physician 82(8):917\u2013922","journal-title":"Am Fam Physician"},{"issue":"1","key":"4907_CR10","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1007\/s40141-013-0036-8","volume":"2","author":"ER Laskowski","year":"2014","unstructured":"Laskowski ER (2014) ACL injury and rehabilitation. Curr Phys Med Rehabil Rep 2(1):35\u201340. https:\/\/doi.org\/10.1007\/s40141-013-0036-8","journal-title":"Curr Phys Med Rehabil Rep"},{"issue":"1","key":"4907_CR11","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s00590-021-03145-3","volume":"33","author":"T Goyal","year":"2021","unstructured":"Goyal T, Paul S, Choudhury AK, Sethy SS (2021) Full-thickness peroneus longus tendon autograft for anterior cruciate reconstruction in multi-ligament injury and revision cases: outcomes and donor site morbidity. Eur J Orthop Surg Traumatol 33(1):21\u201327. https:\/\/doi.org\/10.1007\/s00590-021-03145-3","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"2","key":"4907_CR12","doi-asserted-by":"publisher","first-page":"376","DOI":"10.18203\/issn.2455-4510.IntJResOrthop20210632","volume":"7","author":"DS Bhamare","year":"2021","unstructured":"Bhamare DS, Nathani G, Shevate I, Desouza C, Patil A (2021) Radiological outcome of hamstring graft after anterior cruciate ligament reconstruction with augmentation of bone marrow aspirate concentrate. Int J Res Orthop 7(2):376\u2013380","journal-title":"Int J Res Orthop"},{"issue":"5","key":"4907_CR13","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.83885","volume":"17","author":"C Desouza","year":"2025","unstructured":"Desouza C, Siddique I (2025) Arthroscopic fixation of a posterior cruciate ligament femoral avulsion in an adult: a case report. Cureus 17(5):e83885. https:\/\/doi.org\/10.7759\/cureus.83885","journal-title":"Cureus"},{"issue":"9","key":"4907_CR14","doi-asserted-by":"publisher","first-page":"2869","DOI":"10.1007\/s00167-020-06279-9","volume":"29","author":"J He","year":"2021","unstructured":"He J, Tang Q, Ernst S et al (2021) Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 29(9):2869\u20132879. https:\/\/doi.org\/10.1007\/s00167-020-06279-9","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"4907_CR15","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1136\/jisakos-2020-000501","volume":"6","author":"T Mar\u00edn Ferm\u00edn","year":"2021","unstructured":"Mar\u00edn Ferm\u00edn T, Hovsepian JM, Symeonidis PD, Terzidis I, Papakostas ET (2021) Insufficient evidence to support peroneus longus tendon over other autografts for primary anterior cruciate ligament reconstruction: a systematic review. J ISAKOS 6(3):161\u2013169. https:\/\/doi.org\/10.1136\/jisakos-2020-000501","journal-title":"J ISAKOS"},{"issue":"4","key":"4907_CR16","doi-asserted-by":"publisher","first-page":"1366","DOI":"10.1016\/j.arthro.2023.10.016","volume":"40","author":"M Quinn","year":"2024","unstructured":"Quinn M, Byrne RA, Albright JA et al (2024) Peroneus longus tendon autograft may present a viable alternative for anterior cruciate ligament reconstruction: a systematic review. Arthroscopy 40(4):1366-1376.e1. https:\/\/doi.org\/10.1016\/j.arthro.2023.10.016","journal-title":"Arthroscopy"},{"key":"4907_CR17","first-page":"e123","volume":"3","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Open Med 3:e123\u2013e130","journal-title":"Open Med"},{"issue":"6","key":"4907_CR18","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1136\/emermed-2020-209567","volume":"37","author":"M Amir-Behghadami","year":"2020","unstructured":"Amir-Behghadami M, Janati A (2020) Population, intervention, comparison, outcomes and study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews. Emerg Med J 37(6):387. https:\/\/doi.org\/10.1136\/emermed-2020-209567","journal-title":"Emerg Med J"},{"issue":"5","key":"4907_CR19","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1177\/0363546508330149","volume":"37","author":"KK Briggs","year":"2009","unstructured":"Briggs KK, Steadman JR, Hay CJ, Hines SL (2009) Lysholm score and Tegner activity level in individuals with normal knees. Am J Sports Med 37(5):898\u2013901. https:\/\/doi.org\/10.1177\/0363546508330149","journal-title":"Am J Sports Med"},{"issue":"1","key":"4907_CR20","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1177\/0363546505280214","volume":"34","author":"AF Anderson","year":"2006","unstructured":"Anderson AF, Irrgang JJ, Kocher MS, Mann BJ, Harrast JJ, International Knee Documentation Committee (2006) The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med 34(1):128\u2013135. https:\/\/doi.org\/10.1177\/0363546505280214","journal-title":"Am J Sports Med"},{"issue":"11","key":"4907_CR21","doi-asserted-by":"publisher","first-page":"2151","DOI":"10.1177\/0363546509337698","volume":"37","author":"J Agel","year":"2009","unstructured":"Agel J, LaPrade RF (2009) Assessment of differences between the modified Cincinnati and International Knee Documentation Committee patient outcome scores: a prospective study. Am J Sports Med 37(11):2151\u20132157. https:\/\/doi.org\/10.1177\/0363546509337698","journal-title":"Am J Sports Med"},{"issue":"7","key":"4907_CR22","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1177\/107110079401500701","volume":"15","author":"HB Kitaoka","year":"1994","unstructured":"Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15(7):349\u2013353","journal-title":"Foot Ankle Int"},{"issue":"1","key":"4907_CR23","first-page":"35","volume":"40","author":"SA Hale","year":"2005","unstructured":"Hale SA, Hertel J (2005) Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability. J Athl Train. 40(1):35\u201340","journal-title":"J Athl Train."},{"key":"4907_CR24","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928","volume":"343","author":"JP Higgins","year":"2011","unstructured":"Higgins JP, Altman DG, G\u00f8tzsche PC, J\u00fcni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA, Cochrane Bias Methods Group, Cochrane Statistical Methods Group (2011) The cochrane collaboration\u2019s tool for assessing risk of bias in randomised trials. BMJ 343:d5928. https:\/\/doi.org\/10.1136\/bmj.d5928","journal-title":"BMJ"},{"issue":"10","key":"4907_CR25","doi-asserted-by":"publisher","first-page":"1022","DOI":"10.1055\/s-0038-1627466","volume":"31","author":"M Bi","year":"2018","unstructured":"Bi M, Zhao C, Zhang S, Yao B, Hong Z, Bi Q (2018) All-inside single-bundle reconstruction of the anterior cruciate ligament with the anterior half of the peroneus longus tendon compared to the semitendinosus tendon: a two-year follow-up study. J Knee Surg 31(10):1022\u20131030. https:\/\/doi.org\/10.1055\/s-0038-1627466","journal-title":"J Knee Surg"},{"issue":"4","key":"4907_CR26","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.23.00051","volume":"8","author":"UB Saeed","year":"2023","unstructured":"Saeed UB, Ramzan A, Anwar M et al (2023) Earlier return to sports, reduced donor-site morbidity with doubled peroneus longus versus quadrupled hamstring tendon autograft in ACL reconstruction. JBJS Open Access 8(4):e23.00051. https:\/\/doi.org\/10.2106\/JBJS.OA.23.00051","journal-title":"JBJS Open Access"},{"issue":"2","key":"4907_CR27","first-page":"362","volume":"47","author":"NA Shair","year":"2022","unstructured":"Shair NA, Siddiq UAB, Tariq A, Khalid M, Mian MH (2022) Anterior cruciate ligament reconstruction with hamstring tendon auto grafts versus peroneus longus tendon auto grafts in isolated anterior cruciate ligament injury. Rawal Med J 47(2):362\u2013366","journal-title":"Rawal Med J"},{"issue":"1","key":"4907_CR28","doi-asserted-by":"publisher","first-page":"221049172210883","DOI":"10.1177\/22104917221088335","volume":"29","author":"C Vijay","year":"2022","unstructured":"Vijay C, Santosh MS, Avinash C, Adarsh T (2022) Is Peroneus longus autograft a better alternative to the hamstring autograft for anterior cruciate ligament reconstruction? A randomised control study. J Orthop Trauma Rehabil 29(1):221049172210883. https:\/\/doi.org\/10.1177\/22104917221088335","journal-title":"J Orthop Trauma Rehabil"}],"container-title":["European Journal of Orthopaedic Surgery & Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04907-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-026-04907-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04907-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:49:29Z","timestamp":1785599369000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-026-04907-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,1]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4907"],"URL":"https:\/\/doi.org\/10.1007\/s00590-026-04907-7","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,1]]},"assertion":[{"value":"3 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflict of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Human ethics and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"311"}}