Yuncu M. Broader perspective on the role of peroneus longus tendon in ligament reconstruction. World J Orthop 2025; 16(7): 107957 [DOI: 10.5312/wjo.v16.i7.107957]
Corresponding Author of This Article
Murat Yuncu, MD, Chief Physician, Department of Orthopedics and Traumatology, Elmali State Hospital, 49280 Sokak, Yeni Mahalle Sk, Antalya 7700, Türkiye. m-yuncu@yandex.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Jul 18, 2025; 16(7): 107957 Published online Jul 18, 2025. doi: 10.5312/wjo.v16.i7.107957
Broader perspective on the role of peroneus longus tendon in ligament reconstruction
Murat Yuncu
Murat Yuncu, Department of Orthopedics and Traumatology, Elmali State Hospital, Antalya 7700, Türkiye
Author contributions: Yuncu M contributed to the conceptualization and design of the study; data collection, analysis, and interpretation; and manuscript drafting and review.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Murat Yuncu, MD, Chief Physician, Department of Orthopedics and Traumatology, Elmali State Hospital, 49280 Sokak, Yeni Mahalle Sk, Antalya 7700, Türkiye. m-yuncu@yandex.com
Received: April 1, 2025 Revised: April 21, 2025 Accepted: May 23, 2025 Published online: July 18, 2025 Processing time: 107 Days and 11.4 Hours
Abstract
This article offers additional clinical and biomechanical insights into using the peroneus longus tendon (PLT) autograft in posterior cruciate ligament reconstruction. While recent studies report favorable knee outcomes, concerns remain regarding donor site morbidity. The PLT plays a key role in foot biomechanics, and its harvesting may lead to subtle changes, as suggested by imaging and pedobarographic studies. Tendon regeneration may limit long-term morbidity, but further studies are needed. We recommend that future research include gait analysis, long-term follow-up, and insights from anterior cruciate ligament literature.
Core Tip: This article used biomechanical and imaging data from the anterior cruciate ligament reconstruction literature to highlight the importance of considering the long-term consequences of donor site morbidity in peroneus longus tendon (PLT) grafting. It discusses the functional role of the PLT in foot and ankle biomechanics, highlights concerns raised by tendon harvesting, and cites studies demonstrating possible tendon regeneration. The article advocates for future research, including gait analysis and long-term follow-up, to ensure safe and effective graft selection.
