There remains controversy regarding the ideal graft choice for anterior cruciate ligament (ACL) reconstruction1. Bone-patellar tendon-bone and hamstring autografts have been considered the gold standard for decades. Despite the good clinical outcomes, donor-site morbidity is a concern for both of these grafts2. Peroneus longus tendon autograft has also been considered as a potential graft for many orthopaedic reconstructive procedures3. The biomechanical properties and thickness of such a graft permit its use for ACL reconstruction3,4. The tensile strength of a peroneus longus tendon autograft is the same as that of a hamstring autograft and greater than that of a bone-patellar tendon-bone graft and a quadriceps tendon graft3,5. We aimed to describe the steps to harvest the peroneus longus tendon autograft during single-bundle ACL reconstruction.
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