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Case Reports
. 2023 Jun;13(6):133-137.
doi: 10.13107/jocr.2023.v13.i06.3724.

ACL Reconstruction in a Poliotic Limb with Peroneus Longus Graft

Jignesh Y Tandel  1 , Aniket A Wagh  1 , Vaibhav Girde  1 , Kapil R Jagtap  1 , Nayan Chaudhari  2
Affiliations
Case Reports

ACL Reconstruction in a Poliotic Limb with Peroneus Longus Graft

Jignesh Y Tandel et al. J Orthop Case Rep. 2023 Jun.

Abstract

Introduction: Prevalence of polio was very high in India before its eradication, with a number of people living with its residual effects. Anterior cruciate ligament (ACL) injury is the most common knee injury. To the best of our knowledge, this is the first report in literature presenting ACL injury in a poliotic limb and its management.

Case report: A 30-year-old male with poliotic limb and equinovarus deformity presented with ACL injury to the same limb. ACL reconstruction was done using Peroneus longus graft. Postoperatively patient was gradually returned to preinjury activity levels.

Conclusion: ACL tears in a poliotic limb can be a challenging case. Proper preoperative planning and anticipation of problems can help in managing the case with a good outcome.

Keywords: ACL injury; ACL reconstruction; Polio; foot deformity; peroneus longus Graft.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
Equinovarus deformity at foot.
Figure 2
Figure 2
Patient walking full weight bearing on affected limb, preoperatively.
Figure 3
Figure 3
Wasting of quadriceps in affected limb.
Figure 4
Figure 4
MRI findings showing complete ACL tear.
Figure 5
Figure 5
Intraoperative image showing peroneus longus tendon harvesting.
Figure 6
Figure 6
6 weeks Postoperative images showing full extension and 120° flexion.
See this image and copyright information in PMC

References

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