Transverse divergent dislocation of the elbow.

A girl 6 years 5 months old sustained a rare transverse (mediolateral) divergent dislocation of the elbow and was treated by closed reduction. The arm was immobilized in a cast. Followup was 7 years 5 months.

Reconstruction of the anterior cruciate ligament of the knee using a doubled tendon graft.

The anterior cruciate ligament of the knee was reconstructed in 14 patients using doubled semitendinosus tendon graft put through one hole in the femur and two separate holes in the tibia. This was done in an attempt to duplicate the anatomic insertion of the anterior cruciate ligament on the tibia, to increase the strength of the tendon graft, and to reconstruct the anterior and posterior bundles of the anterior cruciate ligament. The follow-up period ranged from two and one-half to five years (average, 3.

Correction of habitual limp.

Following surgery or injury to a lower extremity, a patient may have a persistent limp in spite of an uneventful recovery and normal findings on physical examination. It may be difficult for the patient to overcome this habitual limp. Such a limp can be successfully corrected by instructing the patient to walk with both knees stiff and to step down on the heel first.

Reconstruction of the anterior cruciate ligament using free tendon graft.

Twenty-seven patients were treated with an intraarticular tendon graft reconstruction of the anterior cruciate ligament. The tendon of the extensor of the fifth toe was used in five patients and the tendon of the semi-tendinosus muscle used in 22 patients. Followup ranged from 2 to 9 years, averaging 5.

Reconstruction for chronic scapuloclavicular instability.

Seventeen young patients with chronic scapuloclavicular instability were treated with tendon graft reconstruction. Sixteen patients had sustained a Type III and one sustained a Type II injury according to Allman's classification (Allman, FL: Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg 49A: 774-784, 1967).