A "mini-reconstruction" technique in treating anterolateral rotatory instability (ALRI)

A "mini-reconstruction" for ALRI, utilizing isometric bundles in the iliotibial tract, has been employed in 62 knee injuries--31 acutely injured and 31 chronically unstable knees. Evaluated at two or more years after operation, the results have been gratifying. The procedure should not be used for chronic "global instability" The technique is extra-articular, closely approximates the functions of the anterior cruciate ligament (ACL), and is static. Maximum tensile strength is attained early in the postoperative recovery period.