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The Journal of Bone and Joint Surgery, Vol 63, Issue 4 560-569, Copyright © 1981 by Journal of Bone and Joint Surgery, Inc
Bone-block iliotibial-band transfer for anterior cruciate insufficiency
J Insall, DM Joseph, P Aglietti and RD Campbell
The anterior distal part of the iliotibial trace with attached bone block
from Gerdy's tubercle was used as an intra-articular graft fixed by a screw
to the tibia to control anterior instability (otherwise known as anterior,
anteromedial, or anterolateral laxity) in twenty-four knees which were
followed for two to four years. Concomitant single-plane 2+ to 4+ medial
instability was present in eleven knees and was treated in five of them by
simple immobilization, by imbrication of the medial collateral ligament, or
by the Vigliani procedure. At follow-up, stability was improved and the
result was rated good or excellent in twenty-one (88 per cent) of the
twenty-four knees. The operation is applicable to the majority of chronic
laxities of the knee and, because no immobilization is necessary, the
postoperative care is much simplified and the rehabilitation time is much
shorter. The procedure is contraindicated where there is posterior or
single-plane lateral laxity.

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