June 23, 2026 · Orthopaedic journal of sports medicine · DOI: 10.1177/23259671261450603

Four-Strand Short Graft Failure Loads of Half-Peroneus Longus Tendon Grafts Compared With Full Semitendinosus Tendon Grafts

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The authors aimed to compare the load to failure of half-peroneus longus tendon (PLT) grafts with full semitendinosus tendon (STT) grafts in a short 4-strand configuration for anterior cruciate ligament (ACL) reconstruction. Their findings revealed that half-PLT grafts exhibited a significantly lower mean load to failure (964.5 N) compared to STT grafts (1291 N), suggesting that surgeons should exercise caution when using half-PLT grafts in ACL surgeries. The study supports the use of full PLT grafts as a viable alternative to STT grafts.

Christopher Kleimeyer, Jayden Tye, Cameron Brown, Daniel Carter, Esther Gambero-Barrero, David Fraser, Kelly Macgroarty

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