Peroneus longus tendon autograft for anterior cruciate ligament reconstruction: Current evidence, donor‐site complications and patient selection

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dc.authorid0000-0003-1818-9422
dc.authorid0000-0002-9534-1910
dc.authorid0000-0002-7679-9635
dc.authorid0000-0002-6834-4438
dc.authorid0000-0001-6433-9896
dc.authorid0000-0002-0926-5879
dc.authorid0000-0002-5652-0692
dc.authorid0000-0002-4014-424X
dc.contributor.authorOkutan, Ahmet Emin
dc.contributor.authorBudhiparama, Nicolaas
dc.contributor.authorHerbort, Mirco
dc.contributor.authorKöse, Özkan
dc.contributor.authorPetersen, Wolf
dc.contributor.authorWierer, Guido
dc.contributor.authorErden, Tunay
dc.contributor.authorHerbst, Elmar
dc.contributor.authorTischer, Thomas
dc.contributor.authorKayaalp, Mahmut Enes
dc.date.accessioned2026-10-21T17:41:30Z
dc.date.available2026-10-21T17:41:30Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractThe search for the ideal autograft for anterior cruciate ligament (ACL) reconstruction (ACLR) remains a longstanding challenge in orthopaedic surgery, as each available graft possesses distinct advantages and inherent limitations. The peroneus longus tendon (PLT) has emerged as an alternative autograft, expanding graft options without further compromising the injured knee. Initially regarded with caution because of con cerns regarding its role in foot and ankle biomechanics, the PLT has evolved into an increasingly recognised alternative autograft option supported by a growing body of anatomical, biomechanical and clinical evi dence. The accumulating evidence suggests that the PLT provides reliable graft characteristics, while avail able comparative studies report broadly similar short to mid‐term clinical outcomes to established autografts and generally favourable donor‐site function. However, the predominantly retrospective and heterogeneous evidence base does not establish graft equivalence or noninferiority. Although important questions remain, particularly regarding sport‐specific ankle performance in high‐demand athletes, long‐term donor‐site conse quences and optimal harvest techniques, the available evidence supports consideration of the PLT as an additional autograft option for ACLR. Rather than es tablishing graft superiority, this editorial synthesises the current evidence, highlights the strengths and limita tions of the PLT, and provides a practical framework for individualised ACL graft selection.
dc.identifier.citationOkutan, A. E., Budhiparama, N., Herbort, M., Köse, Ö., Petersen, W., Wierer, G., Erden, T., Herbst, E., Tischer, T., & Kayaalp, M. E. (2026). Peroneus longus tendon autograft for anterior cruciate ligament reconstruction: Current evidence, donor‐site complications and patient selection. Knee Surgery, Sports Traumatology, Arthroscopy, pp. 1-7. https://doi.org/10.1002/ksa.70616
dc.identifier.doi10.1002/ksa.70616
dc.identifier.endpage7
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.pmidPMID: 42753234
dc.identifier.scopus2-s2.0-105051098560
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1002/ksa.70616
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1675
dc.identifier.wosWOS:001878206400001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorErden, Tunay
dc.institutionauthorid0000-0002-0926-5879
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofKnee Surgery, Sports Traumatology, Arthroscopy
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titlePeroneus longus tendon autograft for anterior cruciate ligament reconstruction: Current evidence, donor‐site complications and patient selection
dc.typeEditorial
dspace.entity.typePublication

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