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CTRI Number  CTRI/2025/07/090642 [Registered on: 10/07/2025] Trial Registered Prospectively
Last Modified On: 08/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   To evaluate effects of using peroneus longus tendon graft for ligament reconstruction (anterior cruciate ligament) of knee 
Scientific Title of Study   Evaluation of changes in biomechanical, clinical and functional outcome of donor ankle following ACL reconstruction with peroneus longus tendon autograft. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Elandevan 
Designation  Junior Resident 
Affiliation  AIIMS Mangalagiri 
Address  Department of Orthopaedics,AIIMS Mangalagiri, Guntur,Andhra pradesh
Department of Orthopaedics,AIIMS Mangalagiri,Guntur, Andhra Pradesh
Guntur
ANDHRA PRADESH
522503
India 
Phone  8667221057  
Fax    
Email  elandevangunasekaran@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Elandevan 
Designation  Junior Resident 
Affiliation  AIIMS Mangalagiri 
Address  Department of Orthopaedics,AIIMS Mangalagiri, Guntur,Andhra pradesh
Department of Orthopaedics, AIIMS Mangalagiri, Guntur, Andhra Pradesh
Guntur
ANDHRA PRADESH
522503
India 
Phone  8667221057  
Fax    
Email  elandevangunasekaran@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vineet Thomas Abraham 
Designation  Additional Professor 
Affiliation  AIIMS Mangalagiri 
Address  Department of Orthopaedics, AIIMS Mangalagiri, Guntur,Andhra pradesh

Guntur
ANDHRA PRADESH
522503
India 
Phone  9786912460  
Fax    
Email  abrahamvineet@aiimsmangalagiri.edu.in  
 
Source of Monetary or Material Support  
Department of Orthopaedics,AIIMS Mangalagiri, Guntur,Andhra pradesh - 522503, india 
 
Primary Sponsor  
Name  Elandevan 
Address  Department of Orthopaedics,AIIMS Mangalagiri, Guntur,Andhra pradesh - 522503, India 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Elandevan  Department of Orthopaedics  Department of Orthopaedics,AIIMS Mangalagiri, Guntur,Andhra pradesh - 522503, India
Guntur
ANDHRA PRADESH 
08667221057

elandevangunasekaran@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTE ETHICS COMMITTEE AIIMS MANGALAGIRI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S00-T88||Injury, poisoning and certain other consequences of external causes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Patients with anterior cruciate ligament injury with or without meniscal tears who will require ACL reconstruction.
2) Patients who are above 18 years of age.
 
 
ExclusionCriteria 
Details  1) Preexisting ankle injury or ankle instability.
2) Patients with osteoarthritis of ankle.
3) Patients with inflammatory arthritis like Rheumatoid arthritis, Gout
4) Patients who require revision anterior cruciate ligament reconstruction
5) Patients with multiligamentous injury of the knee  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate changes in the ankle stability of donor ankle using gait analysis and foot pressure analysis in comparison with the contralateral ankle joint.This study will assess the outcome of ankle and foot instability, knee functional outcome and donor site pain following peroneus longus autograft for ACL reconstruction. This study will shed light on whether peroneus longus autograft can be recommended as a primary graft option for ACL reconstruction.
 
outcomes will be assessed at post surgery 6 weeks, 3 momths and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
1. To evaluate the changes in functional outcome of the foot & ankle using the AOFAS score & FADI index.
2. To evaluate changes in functional outcome of the knee using Tegner Lysholm score
3. To evaluate the pain at the donor site using the VAS score
 
outcomes will be assessed post surgery at 6 weeks, 3 months & at 6 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="30" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Patients presenting to Orthopaedics department, All India Institute of Medical Sciences, Mangalagiri, with ACL tear confirmed on MRI planned for ACL reconstruction will be considered for the study. A complete history and detailed physical examination will be done. Informed written consent will be taken before the patients are included in the study. Patients with complete tear of the ACL confirmed by MRI findings will then undergo ACL reconstruction using peroneus longus tendon autograft. The Patient will be assessed for gait analysis and foot pressure parameters of bilateral ankle using DIERS Formetric 4D dynamic gait analysis system prior to the surgery and after surgery at 6 weeks, 3 months, 6 months. The parameters which will be studied include Gait analysis parameters like step length, step time, stride length, stride time, foot rotation, cadence, stance phase, load response, single support, pressuring, swing phase and foot pressure analysis will be done. Foot pressure analysis will be done at regular intervals to see changes in foot pressure. Details of gait analysis and foot pressure analysis will be noted.

Patients will be evaluated preoperatively and postoperatively at 6 weeks, 3months and 6 months interval for ankle and foot pain and the following scores will be recorded, American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot scale and Foot and Ankle Disability Index (FADI). Patient’s  knee pain and functional outcome will be assessed by Tegner Lysholm score. Post surgery the patient will be evaluated for pain at the donor site using the VAS score on day 0, 2nd day, 5th day and 14th day of surgery. 
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