The Use of the Ligament Augmentation and Reconstruction System (LARS) for Posterior Cruciate Reconstruction

Smith, Christian; Ajuied, Adil; Wong, Fabian; Norris, Mark L.; Back, Diane; Davies, Andrew

doi:10.1016/j.arthro.2013.09.081

Cited by 28 publications

(32 citation statements)

References 39 publications

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“…These results further confirmed the scaffold function of the LARS, but they also imply that there is a risk of LARS ruptures without tissue ingrowth. The results in this study support the notion that the use of LARS results in substantially fewer complications (e.g., synovitis and rupture rate) compared with conventional artificial ligaments [4].…”

Section: Discussionsupporting

confidence: 84%

“…Over the following decades a variety of artificial ligaments were used, but these were unpopular because of their high failure rates. The introduction of Ligament Advanced Reinforcement System (LARS), a synthetic ligament composed of polyethylene terephthalate, in 1992 heralded a new era of ligament repair [4]. There are three categories of artificial ligaments: prosthesis, ligament augmentation device, and scaffold.…”

Section: Introductionmentioning

confidence: 99%

“…Although LARS has been used for more than two decades and was designed for PCL reconstruction surgery, few studies have been conducted on its long-term outcomes. The paucity of data may be due to concerns regarding the failure of synthetic ligaments during the early stages of synthetic ligament development [4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

et al. 2020

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

et al. 2020

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“…wrote systematic review was to assess the safety and efficacy of different synthetic devices in cruciate ligament surgery, a limitation of this review is the paucity of well‐conducted clinical trials included and the exclusion of no‐English‐language studies ( n = 8). Another two systematic reviews assess the effectiveness of LARS as a surgical option for ACL and PCL, but they were limited by the paucity of high‐level, high‐quality evidence.…”

Section: Discussionmentioning

confidence: 99%

Autografts vs Synthetics for Cruciate Ligament Reconstruction: A Systematic Review and Meta‐Analysis

Sun

Wei

et al. 2020

Orthopaedic Surgery

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To describe the outcomes of autografts and synthetics in anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstruction with respect to instrumented laxity measurements, patient-reported outcome scores, complications, and graft failure risk. We searched PubMed, Cochrane Library, and EMBASE for published randomized controlled trials (RCT) and case controlled trials (CCTs) to compare the outcomes of the autografts versus synthetics after cruciate ligament reconstruction. Data analyses were performed using Cochrane Collaboration RevMan 5.0. Nine studies were identified from the literature review. Of these studies, three studies compared the results of bonepatellar tendon-bone (BPTB) and ligament augmentation and reconstruction system (LARS), while six studies compared the results of four-strand hamstring tendon graft (4SHG) and LARS. The comparative study showed no difference in Lysholm score and failure risk between autografts and synthetics. The combined results of the meta-analysis indicated that there was a significantly lower rate of side-to-side difference > 3 mm (Odds Ratio [OR] 2.46, 95% confidence intervals [CI] 1.44-4.22, P = 0.001), overall IKDC (OR 0.40, 95% CI 0.19-0.83, P = 0.01), complications (OR 2.54, 95% CI 1.26-5.14, P = 0.009), and Tegner score (OR −0.31, 95% CI −0.52-0.10, P = 0.004) in the synthetics group than in the autografts group. This systematic review comparing long-term outcomes after cruciate ligament reconstruction with either autograft or synthetics suggests no significant differences in failure risk. Autografts were inferior to synthetics with respect to restoring knee joint stability and patient-reported outcome scores, and were also associated with more postoperative complications.

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“…Há ainda a possibilidade de fazer uso de enxerto sintético para a reconstrução do LCP (63) . O sistema avançado de reforço ligamentar (The Ligament Advanced…”

Section: Seleção Do Enxerto Na Cirurgia De Reconstrução Do Lcpunclassified

Avaliação biomecânica da técnica onlay para reconstrução do ligamento cruzado posterior: comparação entre as fixações unicortical e bicortical do enxerto na tíbia

Albuquerque¹

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The Use of the Ligament Augmentation and Reconstruction System (LARS) for Posterior Cruciate Reconstruction

Cited by 28 publications

References 39 publications

Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

Autografts vs Synthetics for Cruciate Ligament Reconstruction: A Systematic Review and Meta‐Analysis

Avaliação biomecânica da técnica onlay para reconstrução do ligamento cruzado posterior: comparação entre as fixações unicortical e bicortical do enxerto na tíbia

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The Use of the Ligament Augmentation and Reconstruction System (LARS) for Posterior Cruciate Reconstruction

Cited by 28 publications

References 39 publications

Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

Autografts vs Synthetics for Cruciate Ligament Reconstruction: A Systematic Review and Meta‐Analysis

Avaliação biomecânica da técnica onlay para reconstrução do ligamento cruzado posterior: comparação entre as fixações unicortical e bicortical do enxerto na tíbia

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Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years

Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years