Peroneus Longus Autograft Use in Knee, Shoulder, Elbow Ligaments Reconstruction Surgery : Effect On Ankle And Foot Function
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- peronei muscle strength testing using handheld dynamometer
研究概览
简要总结
The purpose of this study is to report the ankle and foot functions via American orthopedic foot and ankle society score (AOFAS), peronei muscle testing ,handheld dynamometer and radiological outcomes after harvesting autogenous peroneus longus tendons for ligaments reconstruction.
详细描述
Using a Peroneus longus tendon (PLT) as an autograft is a common procedure and has been used previously for deltoid ligament reconstruction in flatfoot deformity correction . Recently, (PLT) is gaining popularity as a graft option in primary anterior cruciate ligament (ACL) reconstruction surgeries with biomechanical studies showing tensile strength and clinical outcomes comparable to quadrupled hamstring grafts.
In addition to using PLT for isolated (ACL), it is also used in posterior cruciate ligament (PCL) reconstruction, medial collateral ligament reconstruction, posterolateral corner reconstruction of the knee, or knee multiple ligament injuries . The partial-thickness of the tendon has been used variably in knee ligament surgery..
Being a powerful muscle in plantar flexion and eversion of the foot, there might be associated ankle functional impairment. To the authors knowledge, there is a gap in science evaluating donor site morbidity. The aim of this study is to report the clinical and functional outcome of the donor site for better explanation of the cons and pros of using PLT as a graft in joint ligamentous injury .
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinical and radiological diaginsis of joint ligament injury and needs to ligament reconstruction .
- •people with asymptomatic ankle and foot pre and post injury
排除标准
- •Associated ankle and/or foot fractures.
- •Associated hip or pelvic fractures
- •Abnormal ankle function pre-injury.
- •Contralateral limb fractures
- •Traumatic brain injury (TBI) that limits their ability to participate in their post-operative care;
- •Presence of neurological condition that result in spasticity or any abnormal lower limb muscles tone.
- •Any condition that would preclude the ability to comply with post-operative guidelines.
结局指标
主要结局
peronei muscle strength testing using handheld dynamometer
时间窗: preoperative, three months postoperative and six months postoperative
power of plantar flexion and eversion of foot and ankle
次要结局
未报告次要终点
研究者
Mahmoud Sabra Ahmed
resident doctor
Assiut University