Revision of the Anterior Cruciate Ligament Reconstruction in a Patient with a Previously Harvested Bilateral Hamstring Tendon: A Case Report

Muhammed Alsherbeeny, A.^1*, Mousa Alhosawy, M¹. Mohammed Ali, F.² & Mostafa Almahe, S.²

¹Consultant of Orthopaedics and Lower Limb Reconstruction Surgery, Department of Orthopaedics Surgery and Traumatology, King Salman bin Abdelaziz Medical City, Saudi Arabia
²Senior Registrar of Orthopaedics and Trauma Surgery, Department of Orthopaedics Surgery and Traumatology,King Salman bin Abdelaziz Medical City, Saudi Arabia

Dr. Muhammed Alsherbeeny, A., Consultant of Orthopaedics and Lower Limb Reconstruction Surgery, Department of Orthopaedics Surgery and Traumatology, King Salman bin Abdelaziz Medical City, Saudi Arabia.

Keywords: Peroneus Longus Tendon; Revision ACL Reconstruction; Hamstring Tendon; Patellar Tendon; Graft

Abstract

Peroneus longus tendon can be used for revision anterior cruciate ligament reconstruction cases. The choice of the graft is one of the most challenging steps in the revision of the anterior cruciate ligament. An alternative autograft option with less donor site morbidity and adequate strength should be planned, especially in revision cases, which directly impact on rehabilitation programs and fast return to preinjury status. Peroneus longus tendon was the graft of choice. A case of soccer player with right knee instability after contact injury is presented here. The patient underwent bilateral ACL reconstruction; the right knee was two years, and the left was three years ago, using an ipsilateral hamstring autograft. Right knee ACL graft rupture due to rotatory instability of the knee due to the vertical femoral tunnel. Assessment of knee pain and stability is used to measure the outcome. The donor site showed no complication on follow-up. The results showed advantageous recovery with excellent objective and subjective results.

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