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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.1K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Harvesting of Peroneus Longus Tendon Autograft
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Hamstring Autograft for Foot and Ankle Applications.

Elizabeth A Cody1, Sydney C Karnovsky1, Bridget DeSandis1

  • 11 Hospital for Special Surgery, New York, NY, USA.

Foot & Ankle International
|November 25, 2017
PubMed
Summary

Hamstring tendon autografts for foot and ankle surgery show high patient satisfaction and minimal knee pain. While some strength loss occurred, it was not clinically significant, making it a viable option.

Keywords:
foot and anklehamstring autograftligament reconstructiontendon reconstruction

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Analysis

Background:

  • Hamstring tendon autografts are utilized in foot and ankle procedures.
  • Limited literature exists on their efficacy and associated morbidity in this patient population.
  • This study investigates outcomes of hamstring harvest for foot and ankle reconstruction.

Purpose of the Study:

  • To evaluate the effectiveness of hamstring tendon autografts in foot and ankle surgery.
  • To assess the morbidity associated with hamstring harvest at the donor site (knee).
  • To hypothesize and test the extent of knee morbidity following hamstring autograft harvesting.

Main Methods:

  • A cohort of 37 patients undergoing hamstring autograft for foot/ankle surgery was studied.
  • Isokinetic strength testing of the knee was performed an average of 38 months postoperatively.
  • Peak torque and torque at specific flexion angles were measured at two speeds (180 and 300 degrees/s).

Main Results:

  • 86% of patients reported no pain at the hamstring harvest site; 14% reported mild to moderate symptoms.
  • No patients expressed dissatisfaction, and all would recommend the procedure.
  • A statistically significant decrease in knee flexion strength was observed at higher degrees of flexion at lower testing speeds (P < 0.05).

Conclusions:

  • Hamstring autografts for foot and ankle surgery yield high patient satisfaction.
  • Donor site morbidity at the knee appears minimal.
  • Despite measurable strength deficits, the functional impact on knee flexion strength is not clinically significant.