A different method for anterior-cruciate ligament reconstruction is presented which utilizes the heavy segment of the iliotibial tract at its lower end (where the tract crosses from the femur to the tibia) for the intra-articular portion of the ligament. Eighteen patients treated by this operation, combined with medial-collateral ligament reconstruction, and eleven patients treated by anterior cruciate reconstruction alone were reviewed one to four and one-half years after operation. The over-all results seem to justify the procedure. The average degree of improvement of 2.2 was calculated on a scale of zero to 4.