Hanks G A, Joyner D M, Kalenak A
Am J Sports Med. 1981 Jul-Aug;9(4):225-32. doi: 10.1177/036354658100900407.
In an attempt to correct anterolateral rotatory instability of the knee, 30 consecutive patients underwent a surgical procedure similar to that described by Ellison (Ellison AE: A modified procedure for the extra-articular replacement of the anterior cruciate ligament. American Orthopaedic Society for Sports Medicine Symposium, New Orleans, LA, July 15, 1975), called the iliotibial band transfer. Fashioning the passageway for the transfer closer to the attachment of the fibular collateral ligament on the femur and meticulous fascial closure over the transplant were not found to be crucial to success. Twenty-nine of the 30 patients were injured during athletic activities, and the remaining patient was injured in a motorcycle accident. They often complained of an unstable knee with symptoms of pain and giving way. Twenty-eight patients with a minimum followup of nine months (the average followup was 25 months) were evaluated subjectively by an interview and by objective clinical examination. Subjective results (including asymptomatic return to their previous level of athletic activity) and clinical improvement of anterolateral rotatory instability (based on the flexion-extension-valgus test or the Slocum anterolateral rotatory instability test) were encouraging. Areas of concern were that a small number of patients developed asymptomatic varus instability and a few had relative strength deficits which may or may not have long-term significance.
为纠正膝关节前外侧旋转不稳，30例连续患者接受了一种类似于埃里森（埃里森AE：一种改良的前交叉韧带关节外置换手术。美国运动医学学会研讨会，路易斯安那州新奥尔良，1975年7月15日）所描述的手术，即髂胫束转移术。结果发现，将转移通道制作得更靠近腓侧副韧带在股骨上的附着点以及对移植部位进行细致的筋膜闭合对手术成功并非至关重要。30例患者中有29例在体育活动中受伤，其余1例在摩托车事故中受伤。他们常主诉膝关节不稳，伴有疼痛和打软腿症状。对28例至少随访9个月（平均随访25个月）的患者进行了主观访谈和客观临床检查评估。主观结果（包括无症状地恢复到先前的运动水平）以及前外侧旋转不稳的临床改善（基于屈伸 - 外翻试验或斯洛克姆前外侧旋转不稳试验）令人鼓舞。值得关注的方面是，少数患者出现了无症状的内翻不稳，还有少数患者存在相对的力量缺陷，这可能有或可能没有长期影响。
