Related Experiment Video
Updated: Aug 5, 2026

04:03
Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
ANTHROPOMETRIC CORRELATION OF HAMSTRING AND PERONEUS LONGUS GRAFTS IN ACL RECONSTRUCTION
Izabela Feres de Oliveira1, Matheus Kuster Ronconi1, Gabriel Velasque Dos Santos Midão1
1Hospital Santa Casa de Misericordia de Vitoria, Vitoria, ES, Brazil.
Acta Ortopedica Brasileira
|July 25, 2026
Summary
This study found that flexor tendon grafts are longer, while peroneus longus grafts are thicker for anterior cruciate ligament reconstruction. Patient age and height correlate with peroneus longus graft length.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Anterior cruciate ligament (ACL) injuries are common, necessitating reconstructive surgery.
- Graft selection is crucial for successful ACL reconstruction outcomes.
- Understanding the relationship between patient anthropometrics and graft characteristics is vital.
Purpose of the Study:
- To investigate the association between patient anthropometric data and graft characteristics in ACL reconstruction.
- To compare flexor tendon grafts (semitendinosus and gracilis) with peroneus longus tendon grafts.
Main Methods:
- Analytical study involving 30 patients undergoing ACL reconstruction.
- Patients were randomized into two groups: flexor tendon grafts vs. peroneus longus tendon grafts.
- Graft length, diameter, and patient anthropometrics (age, height, weight) were measured; statistical analyses included t-tests, chi-square, and Pearson's correlation.
Main Results:
- Flexor tendon grafts were significantly longer (28.8 cm) than peroneus longus grafts (25.8 cm).
- Peroneus longus tendon grafts had a significantly greater diameter (9.33 mm) compared to flexor tendon grafts (8.47 mm).
- A negative correlation was found between patient age and peroneus longus graft length; a positive correlation existed between patient height and peroneus longus graft length.
Conclusions:
- Patient anthropometric data are not reliable predictors for flexor tendon graft characteristics.
- Younger and taller patients tend to have longer peroneus longus grafts, suggesting potential for personalized graft selection.
- This research provides insights into graft properties and their correlation with patient factors in ACL reconstruction.
