Scott W N, Ferriter P, Marino M
J Bone Joint Surg Am. 1985 Apr;67(4):532-8.
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.
对111例前交叉韧带损伤的膝关节采用以近端为蒂的髂胫束复合结构（包括其骨附着点、外侧支持带及部分股外侧肌）转移术，并随访2至7年。同期未进行其他韧带手术。临床结果显示，81%（90例）的膝关节Lachman试验为阴性，84%（93例）的膝关节前抽屉试验为1+或更小，94%（104例）的膝关节轴移试验为阴性。主观评估方面，74%（82例）的膝关节评定为优；21%（23例）为良；5%（6例）为差。一项手术技术的显著改进，即对髂胫束进行有限的后方剥离，产生了比原手术更好的静态稳定性。这些长达7年的结果与该转移术的生理特性相符。该手术技术可重复，骨的即时固定允许膝关节早期活动及合理的康复。
