{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:54:57Z","timestamp":1789602897509,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG5K0092, CMRPG3M2032, CMRPG5K021, SMRPG3N0011"],"award-info":[{"award-number":["CMRPG5K0092, CMRPG3M2032, CMRPG5K021, SMRPG3N0011"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001868","name":"National Science Council","doi-asserted-by":"publisher","award":["MOST 111-2628-B-182A-016, NSTC112-2628-B-182A-002"],"award-info":[{"award-number":["MOST 111-2628-B-182A-016, NSTC112-2628-B-182A-002"]}],"id":[{"id":"10.13039\/501100001868","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The peroneus longus (PL) tendon is increasingly used as an autograft for ligament and tendon reconstructions, particularly in populations where hamstring graft dimensions may be insufficient. However, donor-site ankle function and patient-reported outcomes measures (PROMs) after PL harvest remain underreported. This study aimed to evaluate changes in PROMs and range of motion (ROM) at the donor-site ankle 1 year after PL autograft harvest and the proportion exceeding minimal clinically important difference (MCID) thresholds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent PL autograft harvest from January 2021 through April 2023 were retrospectively enrolled. PROMs\u2014including the Single Assessment Numeric Evaluation (SANE), American Orthopaedic Foot &amp; Ankle Society (AOFAS) score, Foot and Ankle Outcome Score (FAOS), and Cumberland Ankle Instability Tool (CAIT) score\u2014were assessed preoperatively and at 1-year follow-up on the operated ankle. Ankle ROM was also measured. Donor-site morbidity was evaluated using MCID thresholds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirty-five patients (mean age: 43\u2009\u00b1\u200928\u2009years) completed follow-up at a mean of 22.5\u2009\u00b1\u200910\u2009months. Although ankle ROM was preserved with no statistically significant changes (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05), PROMs declined significantly compared with preoperative values (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05), with postoperative scores of SANE (92.3\u2009\u00b1\u200927.3), AOFAS (96.7\u2009\u00b1\u200910.7), FAOS (97.0\u2009\u00b1\u200923), and CAIT (27.4\u2009\u00b1\u200919.4). MCID thresholds were exceeded in 51.4% (SANE), 31.4% (AOFAS), 34.2% (FAOS), and 5.7% (CAIT) of patients. Two patients experienced transient sural nerve hypoesthesia, which resolved without long-term deficit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PL tendon harvest was associated with preserved ankle ROM at 1 year but demonstrated statistically significant declines in PROMs compared with preoperative baselines. A subset of patients exceeded MCID thresholds, indicating clinically meaningful donor-site morbidity in some cases. These findings underscore the importance of informed graft selection and highlight the need for further long-term evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007251372121","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T09:22:37Z","timestamp":1759224157000},"page":"1259-1264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Peroneus Longus Autograft Harvest: Patient-Reported Donor-Ankle Morbidity at 1 Year"],"prefix":"10.1177","volume":"46","author":[{"given":"Chen-Heng","family":"Hsu","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Bone and Joint Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Comprehensive Sports Medicine Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Hsuan","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Bone and Joint Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Comprehensive Sports Medicine Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Hsia","sequence":"additional","affiliation":[{"name":"Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis Yi","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Pang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Bone and Joint Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Comprehensive Sports Medicine Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4528-9074","authenticated-orcid":false,"given":"Samuel Ka-Kin","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine, Chinese University of Hong Kong (CUHK)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin Chao-Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Bone and Joint Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Comprehensive Sports Medicine Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9415-5115","authenticated-orcid":false,"given":"Joe Chih-Hao","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Bone and Joint Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Comprehensive Sports Medicine Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Chang Gung University College of Medicine, Taoyuan, 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