Arthroscopically Aided Anterior Cruciate Ligament Reconstruction Using the Iliotibial Tract

Since 1986, we have been performing arthroscopically aided double stay reconstruction using the iliotibial tract for repair of the anterior cruciate ligament deficient knee. Eighty-five patients with a minimum follow-up of 2 years were reviewed. Nearly a full range of motion had been achieved in all patients. The pivot shift test was negative in 75 patients (88%), and the average knee rating score according to the Cincinnati Knee Score was 94.3 points. The average side-to-side difference in tibial displacement was 2.3mm in KT-1000 arthrometric measurments, and 18 patients (21%) showed a difference of more than 3.0 millmeters. Recurrent patholaxity was frequently observed in early cases where the tibial bone tunnel was located anterioly and where notch plasty had not been perfomed.