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There is a Minimal Difference in Ankle Functional Outcomes After Peroneus Longus Harvest: Systematic Review and
1Department of Orthopedics, Datta Meghe Institute of Medical Sciences, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha, Maharashtra India.
Indian Journal of Orthopaedics
|November 27, 2023
Summary
Peroneus longus (PL) autograft for ligament surgery shows minimal impact on ankle function. This systematic review confirms PL harvest leads to statistically significant but clinically minor changes in ankle outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Reconstructive Surgery
Background:
- Peroneus longus (PL) autograft is increasingly used in ligament surgeries due to good outcomes and low donor site morbidity.
- Concerns persist regarding the potential impact of PL harvest on ankle function.
Purpose of the Study:
- To systematically review and meta-analyze available evidence on ankle functional outcomes following PL autograft harvest.
- To provide objective clinical data to inform surgical decision-making regarding PL grafts.
Main Methods:
- A comprehensive literature search was conducted across Cochrane, Embase, Medline, and Google Scholar (2001-2021).
- Studies were selected based on PRISMA guidelines, focusing on ankle functional outcomes assessed by validated instruments (e.g., AOFAS, FADI scores).
Main Results:
- Twelve studies involving 537 patients with an average follow-up of 17 months were included.
- A statistically significant, yet minimal, decrease in post-operative AOFAS and FADI scores was observed (p < 0.05).
- The magnitude of change suggests minimal clinical impact on ankle function.
Conclusions:
- Peroneus longus autograft harvest results in statistically significant but clinically minimal adverse effects on ankle functional outcomes.
- This finding, supported by existing literature, indicates that PL harvest has a negligible impact on overall ankle function and outcomes.
