The results of reconstructing the torn anterior cruciate ligament using
the bone-block iliotibial-tract transfer in thirty-seven patients were
reviewed. After the operation, only one patient considered the function of
the knee to be normal, but most (all but four) could participate in
moderately strenuous work activities and some sports activities. The
athletes who were operated on rarely were able to return to their
pre-injury level of activity. Most of the patients continued to have
clinical evidence of deficiency of the anterior cruciate ligament. All but
five had a positive Lachman test and most had a positive pivot-shift sign.
Fifteen results were rated satisfactory and ten were rated poor. Because of
these disappointing results we have discontinued using the procedure.