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The iliotibial band lateral sling procedure and its effect on the results of anterior cruciate ligament reconstruction

Hospital for Special Surgery, New York, New York

Russell F. Warren, MD

Hospital for Special Surgery, New York, New York

Thomas L. Wickiewicz, MD

Hospital for Special Surgery, New York, New York

Bernard A. Rawlins, MD

Hospital for Special Surgery, New York, New York

Answorth A. Allen, MD

Hospital for Special Surgery, New York, New York

Robert Panariello, RPT

Hospital for Special Surgery, New York, New York

Anne M. Kelly

Hospital for Special Surgery, New York, New York

The effect of iliotibial band "lateral sling" augmentation on long-term outcome in ACL reconstruction using free autogenous central-third patellar tendon was evaluated retrospectively. Eighty reconstructions were reviewed; the minimum followup was 2 years and the average was 4 years. Sixty percent of the procedures involved supplementation with a lateral sling. By both clinical evaluation and KT-1000 measurement, there were no differences in the results of patients with lateral sling augmentation and those without it. In addition, 40% of patients had chronic pain and/or swelling related to the lateral sling. We do not currently recommend the routine use of a lateral sling augmentation for ACL reconstruc tion using central-third patellar tendon.

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