A modified Jones intraarticular anterior cruciate re construction was combined with a distal iliotibial band transfer (Ellison) and a pes anserinus transfer (Slo cum) for patients with symptomatic anterior cruciate deficient knees. The procedure was performed on 15 young (average age, 22.5 years) athletes, in a single operation through a long, straight, anterior, midline incision.
Preoperatively, all 15 patients (15 knees) had symp tomatic instability and all but one had a positive pivot shift. At follow up (averaging 39 month range 24-60 months) 13 (93%) had the pivot shift eliminated and only one, with 36 months followup, had instability on return to sports. Postoperatively, patients were im mobilized 3 weeks and then were started on a physical therapy program which ended in return to sports at 1 year.
Get full access to this article
View all access options for this article.
References
1.
Alm A., Liljedahl S., Stromberg B.: Clinical and experimental experience in reconstruction of the anterior cruciate ligament. Orthop Clin North Am7: 181-189, 1976
2.
Arnold JA, Coker TP, Heaton LM, et al: Natural history of anterior cruciate tears. Am J Sports Med7: 305-313, 1979
3.
Brantigan OC , Voshell AF: The mechanics of the ligaments and menisci of the knee joint. J Bone Joint Surg23A: 44-66, 1941
4.
Chiroff RT: Experimental replacement of the anterior cruciate ligament. J Bone Joint Surg57A: 1124-1132, 1975
5.
Cho KO: Reconstruction of the anterior cruciate ligament by semitendinous tenodesis . J Bone Joint Surg57A: 608-618, 1975
Ellison AE: Distal iliotibial-band transfer for anterolateral rotatory instability of the knee. J Bone Joint Surg61A: 330-339, 1979
8.
Eriksson E.: Reconstruction of the anterior cruciate ligament. Orthop Clin North Am7: 167-179, 1976
9.
Fetto JF, Marshall JL: Injury to the anterior cruciate ligament producing the pivot shift sign. J Bone Joint Surg61A: 710-714, 1979
10.
Furman W., Marshall JL, Girgis FG: The anterior cruciate ligament: a functional analysis based on postmortem studies. J Bone Joint Surg58A: 179-185, 1976
11.
Galway RD, Beaupre A., Maclntash DL: A clinical sign of symptomatic anterior cruciate insufficiency, in Proceedings of the Canadian Orthopaedic Association. J Bone Joint Surg54B: 763-764, 1972
12.
Galway RD: The pivot shift syndrome, in Proceedings of the New Zealand Orthopedic Association . J Bone Joint Surg54B: 558, 1972
13.
Ginsberg JH , Whiteside LA, Piper TL: Nutrient pathways in transferred patellar tendon used for anterior cruciate ligament reconstruction. Am J Sports Med8: 15-18, 1980
14.
Girgis FG, Marshall JL, Monajem Ars: The cruciate ligaments of the knee joint. Clin Orthop106: 216-231, 1975
15.
Hanks GA, Joyner D., Kalenak A.: Anterolateral rotatory instability of knee. Am J Sports Med9: 225-232, 1981
16.
Insal J., Joseph DM, Aglietti P., et al: Bone-block iliotibial-band transfer for anterior cruciate insufficiency . J Bone Joint Surg63A: 560-569, 1981
17.
Ivey FM, Blazina ME, Fox JE, et al: Intraarticular substitution for anterior cruciate insufficiency . Am J Sports Med8: 405-410, 1980
18.
Jones KG: Reconstruction of the anterior cruciate ligament: a technique using the central one/third of the patellar ligament. J Bone Joint Surg45A: 925-932, 1963
19.
Jones KG: Reconstruction of the anterior cruciate ligament using the central one/third of the patellar ligament: a follow up report. J Bone Joint Surg52A: 1302-1308, 1970
20.
Kennedy JC, Weinberg HW, Wilson AS: The anatomy and function of the anterior cruciate ligament. J Bone Joint Surg. 56A: 223-235, 1974
21.
Kennedy JC, Stewart R., Walker DM: Anterolateral instability of the knee joint. J Bone Joint Surg60A: 1031-1039, 1978
22.
Kennedy JC, Roth JH, Mendenhall HV, et al: Intraarticular replacement in the anterior cruciate ligament-deficient knee. Am J Sports Med8: 1- 8, 1980
23.
Lam Sjs: Reconstruction of the anterior cruciate ligament using the Jones procedure and it's Guy's Hospital Modification. J Bone Joint Surg50A. 1213-1224, 1968
24.
Losee RE, Johnson TR, Southwick WO: Anterior subluxation of the lateral tibial plateau: A diagnostic test and operative repair. J Bone Joint Surg60A. 1015-1030, 1978
25.
Mains DB, Andrews JG, Stonecipher T.: Medial and anterior-posterior ligament stability of the human knee, measured with a stress apparatus. Am J Sports Med5: 144-152, 1977
26.
McDaniel JW , Dameron Jr, TB: Untreated ruptures of the anterior cruciate ligament. J Bone Joint Surg62A: 696-705, 1980
27.
Markoff KL, Mensch JS, Amstuzt HC: Stiffness and laxity of the knee— the contributions of supporting structures . J Bone Joint Surg58A: 583-594, 1974
28.
Noyes FR, Sonstegard DA: Biomechanical function of the pes anserinus at the knee and the effect of its transplantation. J Bone Joint Surg55A: 1225-1240, 1973
29.
Noyes FR, Butler DL, Paulos LE, Grood ES: Presented at AAOS Interim meeting of American Orthopaedic Society for Sports Medicine, Las Vegas, November 1981
30.
Perry J., Fox JM, Boitano MA, Skinner SR, et al: Functional evaluation of the pes anserinus transfer by electromyography and gait analysis. J Bone Joint Surg62A: 973-980, 1980
31.
Slocum DB, Larson RL: Pes anserinus transplantation: a surgical procedure for control of rotatory instability of the knee. J Bone Joint Surg50A: 226-242, 1968
32.
Teitge RA, et al: Iliotibial band transfer for anterolateral rotatory instability of the knee. Am J Sports Med8: 223-227, 1980
