The macintosh procedure

Vehniah Kristin Tjong, Daniel B. Whelan*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Historically known as the first surgical technique to address the pivot shift phenomenon following anterior cruciate ligament rupture, the MacIntosh procedure, also known as the extra-articular lateral tenodesis, has evolved over time since its original description. The following chapter outlines the birth of the MacIntosh I and its progression to the MacIntosh II, the most common form currently described and employed in practice. A discussion of current literature is presented to investigate its use as an adjunct for rotational stability in the setting of an ACL reconstruction. Although preliminary data suggests that this procedure may provide rotational stability for the ACL-deficient knee, there are no long-term studies to support its efficacy or affect on post-reconstruction osteoarthritis of the knee.

Original languageEnglish (US)
Title of host publicationRotatory Knee Instability
Subtitle of host publicationAn Evidence Based Approach
PublisherSpringer International Publishing
Number of pages8
ISBN (Electronic)9783319320700
ISBN (Print)9783319320694
StatePublished - Jan 1 2016


  • Anterior cruciate ligament
  • Lateral collateral ligament
  • Pivot shift
  • Pivot shift test
  • Tibial tunnel

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'The macintosh procedure'. Together they form a unique fingerprint.

Cite this