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The Journal of Bone and Joint Surgery, Vol 67, Issue 4 532-538, Copyright © 1985 by Journal of Bone and Joint Surgery, Inc
Intra-articular transfer of the iliotibial tract. Two to seven-year follow-up results
WN Scott, P Ferriter and M Marino
A proximally based transfer of a composite structure of the iliotibial
tract, its osseous insertion, the lateral retinaculum, and part of the
vastus lateralis was used in 111 anterior cruciate-deficient knees that
were followed for two to seven years. No other ligament procedures were
performed simultaneously. The clinical results included a negative Lachman
test in 81 per cent (ninety) of the knees, an anterior drawer test of 1+ or
less in 84 per cent (ninety-three knees), and a negative pivot-shift sign
in 94 per cent (104 knees). Subjectively, 74 per cent (eighty-two) of the
knees were rated as excellent; 21 per cent (twenty-three), as good; and 5
per cent (six), as poor. A significant modification in surgical technique,
consisting of a limited posterior dissection of the iliotibial band,
yielded even better static stability than the original operation did. These
results, sustained for as long as seven years, are consistent with the
physiological aspects of this transfer. The surgical technique is
reproducible and the immediate fixation of bone allows early motion of the
knee and reasonable rehabilitation.
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