anterior cruciate deficient knees

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