Reinforced Iliotibial Tenodesis for Chronic Anterolateral Instability of the Knee: A 6-Year Follow-Up/EDITORIAL COMMENT
Abstract
abstract
Reinforced iliotibial tenodesis is an extra-articular procedure to eliminate anterolateral instability of an anterior cruciate ligament-deficient knee. The procedure carries a low complication rate and offers an easy rehabilitation program. This study evaluated the use of reinforced iliotibial tenodesis in a select group of 52 patients with a mean age of 41 years (range: 38-50 years). Obese patients, professional athletes, and patiente with more complex injuries (eg, concomitant posterior cruciate or medial collateral ligament injuries) were excluded. Results are encouraging after a mean follow-up of 6 years (range: 2-1 0 years). Although 24 patients had a positive anterior drawer or Lachman test, none had a positive pivot test. In addition, all patients reported giving way was eliminated after surgery.
- 1. Ellison AE. Distal iHotibial band transfer for anterolateral rotatory instability of the knee. J Bone Joint Surg Am, 1979; 61 :330-337. Google Scholar
- 2. Macintosh DL, Darby TA. Lateral substitution reconstruction. J Bone Joint Surg Br. 1976; 58:142. Google Scholar
- 3. Losee RE, Johnson TR, Southwick WO. Anterior subluxation of the lateral tibial plateau, A diagnostic test and operative repair. J Bone Joint Surg Am. 1978; 60: 1015-1030. Google Scholar
- 4. Arnold JA, Coker TP, Heaton LM, Park JP, Harris WD. Natural history of anterior cruciate tears. Am J Sports Med. 1979; 7:305-313. Google Scholar
- 5. Edmonson AS, Crenshaw AH, eds. Campbell's Ortlwpaeiiics. St Louis, Mo: Mosby; 1980. Google Scholar
- 6. Zarins B, Rowe CR. Anterior cruciate ligament reconstruction using semitendinosus tendon and iHotibia!. Presented al: Annual Meeting of the American Academy of Orthopaedic Surgeons; 1980; Atlanta, Ga. Google Scholar
- 7. Benum P. Anlerolateral rotatory instability of the knee joint. Results after stabilization by extraarticular transposition of the lateral third of the patellar ligament. A preliminary report. Acta Orthop Scand. 1982; 53:613-617. Google Scholar
- 8. James SL. Knee ligament reconstruction. In: Evarts CM, ed, Surgery of the Musculoskeletal System. New York, NY: Churchill Livingstone; 1983:31-104. Google Scholar
- 9. Andrews JR, Sanders RA, Morin B. Surgical treatment of anterolateral rotatory instability. A follow up study. Am J Sports Med. 1985: 13:112-119. Google Scholar
- 10. Kennedy JC, Siewan R, Walker DM. Anierolateral rotatory instability of the knee joint. An early analysis of the EIUson procedure. J Bone Joint Surg Am. 1978; 60:1031-1039. Google Scholar
- 11. Kennedy JC, Roth JH, Mendenhall HV, Sanford JB. Presidential address. Intraarticular replacement in ihe anterior cruciate ligamentdeficient knee. Am J Sports Med. 1980; 8:1-8. Google Scholar
- 12. Amirault JD, Cameron JC, Macintosh DL. Marks P. Chronic anterior cruciate ligament deficiency. Long term results of Macintosh's lateral substitution reconstruction. J Bone Joint Surg Br. 1988:70:622-624. Google Scholar
- 13. Dahlstead LJ, Dalen N. Jonsson U. Extra-articular repair of the unstable knee. Disappointing 6-year results of the Slocum and EIUson operadons. Ac-M Orthop ScancJ. 1988; 59:687-691. Google Scholar
- 14. Trovic A, Slrand T, Molsler A. Long term follow up of Losee procedure. In: Proceedings of the 44th Meeting of the Scandinavian Orthopaedic Association. Aarhus, Denmark; 1988. Google Scholar
- 15. Bray RC. Flanagan JP, Dandy DJ. Reconstruction for chronic anterior cruciate instability. A comparison of two methods after 6 years. J Bone Join! Surg Br. 1988; 70: 100-105. Google Scholar
- 16. Reid JS, Hanks GA, Kalenak A, Kottmeier S, Aronoff V. The Ellison iliotibial band transfer for a torn anterior cruciate ligament of the knee. Long-term follow-up. J Bone Joint Surg Am. 1992; 74:1392-1402. Google Scholar
- 17. Aglietti P, Bozzi R, D'Andria S, Zaccheroni G. Long-term study of anterior cruciate ligament reconstruction for chronic instability using the central one-third patellar tendon and a lateral extra-articular tenodesis. Am J Sports Meet. 1992; 20:38-45. Google Scholar
- 18. Fulkerson J, Cautilli R. Hosick W. Wrighi J. Divergence angles and their effect on the fixation strength of the Kurosawa screw. Presented al: Annual Meeting of the American Academy of Sports Medicine; 1992; San Diego, Calif. Google Scholar
- 19. Jackson D, Lemos M. Autografi reconstruction of the anterior cruciate ligament. In: Jackson D, ed. The Anterior Cruciale Ligament: Current and Future Concepts. New York, NY: Raven Press; 1993:291-303. Google Scholar
- 20. Shino K. Nakagawa S, Inoue M, Horibe S, Yoneda M. Deterioration of patellofemoral articular surfaces after anterior cruciate ligament reconstruction. Am J Sports Med. 1993; 21:206-211. Google Scholar
- 21. Noyes FR, Barber-Westin SD. Reconstruction of the anterior cruciate ligament with human allogran. Comparison of early and later results. J Bone Joint Surg Am. 1996; 78:524-537. Google Scholar
- 22. Anderson AF, Snyder RB, Lipscomb AB Jr. Anterior cruciate ligament reconstruction using the semitendinosus and gracilis tendons augmented by the Losee iliotibial band tenodesis. A long term study. Am J Sports Med. 1994; 22:620-626. Google Scholar
- 23. L'Insalata JC, Klatt B, Fu FH, Harner CD. Tunnel expansion following anterior cruciate ligament reconstruction: a comparison of hamstring and patellar tendon autografe. Knee Surg Sports Traumtitol Arthrose. 1997; 5:234-238. Google Scholar
- 24. Simonian PT, Harrison SD, Cooley VJ, Escabedo EM, Deneka DA, Larson RV. Assessment of morbidity of semitendinosus and gracilis tendon harvest for ACL reconstruction- Am J Knee Surg. 1997; 10:54-59. Google Scholar
- 25. Clatworthy MG, Annear P, Bulow JU, Bartlett RJ, Tunnel widening in anterior cruciate ligament reconstruction: a prospective evaluation of hamstring and patella tendon grafts. Knee Surg Sports Traurnarol Arthrose. 1999: 7:138-145. Google Scholar
- 26. Fu FH, Bennett CH. Ma CB, Menetrey J, Latterman C. Current trends in anterior cruciate ligament reconstruction, II: operative procedures and clinical correlations. Am J Sports Med. 2000; 28: 124-130. Google Scholar
- 27. Harner CD, Fu FH, Irrgang JJ, Vogrin TM. Anterior and posterior cruciate ligament reconstruction in the new millenium: a global perspective. Knee Surg Sports Traumatol Arihmsc. 2001; 9:330-336. Google Scholar
- 28. Graf B, Uhr F. Complications of intra-articular anterior cruciate reconstructions. Clin Sports MM 1988: 7:835-848. Google Scholar
- 29. Shaefer RK, Jackson DW. Cyclops syndrome: loss of extension following intra-articular ACL reconstruction. Arthimcopy. 1990; 6:171-178. Google Scholar
- 30. Fu FH, Paul J. Harner C, et al. The development of flexion contractures following arthroscopic anterior cruciate ligament reconstruction. Proceedings of the International Society of the Knee. Toronto, Canada, 1991. Am J Sports Med. 1991; 19:560. Google Scholar
- 31. Shelbonme K, Wilckens J, Mollabashy A, DeCarlo M. Arthrofibrosis in acute anterior cruciate ligament surgery: the effect of timing of reconstruction and rehabilitation. Am J Sports Med. 1991; 19:332-336. Google Scholar
- 32. Cross M. Potential complications of arthroscopic anterior cruciate ligament reconstruction. Information for patients. Available at: http://www.kneeclinic .com.au/papers/ACLcomp.htm 2001. Accessed. Google Scholar
- 33. Maillet M. Complications rencontrees apres ligamentoplasties du LCA. Available at: http://www.anms.asso.fT./anmsrOO/51/maillet.htm. Accessed. Google Scholar
- 34. Goldstein LA, Dickerson RC. Atlas ofOrthopedic Surgery. 2nd ed. 1981. Google Scholar
- 35. Kanamori A, Zeminski J, Rudi TW. el al. The effect of axial tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift lest. Arthmscopy. 2002; 18:394-398. Google Scholar
- 36. Krackow KA, Brooks RL. Optimization of the knee ligament position for lateral extraarticular reconstruction. Am J Sports Med. 1983; 11:293-302. Google Scholar
- 37. Engebretsen L, Lew WD, Lewis JL, Hunter RE. The effect of an iliolibial tenodesis on intra-articular graft forces and knee joint motion. Am J Sports Med. 1990; 18:169-176. Google Scholar
- 38. Anderson AF, Snyder RB, Lipscomb AB Jr. Anterior cruciale ligament reconstruction. A prospective randomized study of three surgical methods Am J Sports Med. 2001; 29:272-279. Google Scholar
- 39. Engebretsen L, Lew WD, Lewis JL, Hunter RE. Benum P. Anterotateral rotatory instability of the knee. Cadaver study of extra-articular patellar-tendon Iransposition. Acta Orthop Scand. 1990;61:225-230. Google Scholar
- 40. Parker TV, Malone TR, Bassett FH. Long-term functional results in patients with anterolaterai rotatory instability treated by iliotibial band transfer. Am J Sports Med. 1992; 20:274-282. Google Scholar
- 41. Garcia R Jr, Brunei ME, Timon S, Barrack RL. Lateral extra-articular knee recoastruction: longterm patient outcome and satisfaction. J South Orthop Assoc. 2000; 9:19-23. Google Scholar

