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

Chiang, Liang-Yu; Lee, Cheng-Hung; Tong, Kwok-Man; Wang, Shun-Ping; Lee, Kun-Tsan; Tsai, Wen‐Chen; Chen, Chao-Ping

doi:10.1016/j.knee.2019.11.004

Cited by 14 publications

(7 citation statements)

References 24 publications

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“…The scaffold structure is able to overcome fatigue and allows connective tissue ingrowth. 39 Fibroblasts adhere to and surround the synthetic ligament fibres by building a capsule. 56 The extra-articular woven fibres provide strength and resistance to elongation.…”

Section: Discussionmentioning

confidence: 99%

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Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis

Migliorini

Pintore

Vecchio

et al. 2022

British Medical Bulletin

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Introduction Several strategies are available for posterior cruciate ligament (PCL) reconstruction. Source of data Recently published literature in PubMed, Google Scholar and Embase databases. Areas of agreement The Ligament Advanced Reinforcement System (LARS) is a scaffold type artificial ligament, which has been widely used for ligament reconstruction of the knee. Areas of controversy Current evidence on the reliability and feasibility of LARS for primary isolated PCL reconstruction is limited. Growing points The primary outcome of interest of the present work was to investigate the outcomes of PCL reconstruction using the LARS. The secondary outcome of interest was to compare the LARS versus four-strand hamstring tendon (4SHT) autograft for PCL reconstruction. Areas timely for developing research LARS for primary isolated PCL reconstruction seems to be effective and safe, with results comparable to the 4SHT autograft.

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Section: Discussionmentioning

confidence: 99%

“… 56 The extra-articular woven fibres provide strength and resistance to elongation. 39 The biocompatibility of the LARS has been demonstrated by the presence of fibroblast and osteoblast-like cells growth into its structure 6 months after surgery. 10 In vitro ingrowth of blood vessels in the ligament has been also documented.…”

Section: Discussionmentioning

confidence: 99%

Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis

Migliorini

Pintore

Vecchio

et al. 2022

British Medical Bulletin

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“…Ranger et al, in 111 acute MLKI lesions also used LARS, obtaining 90% of good and excellent results when they reconstructed the ACL and the corners but only 60% of the patients with PCL reconstruction obtained good results. Chiang et al [15] in a case series study in 33 patients found partial rupture of the LARS in a 10-year follow-up, therefore they do not recommend it. The Seventh controversy refers to the sequence of graft fixation.…”

Section: Controversies In Diagnosis and Treatmentmentioning

confidence: 99%

Controversies in acute multiligamentary knee injuries (MLKI)

Mosquera¹,

Jaramillo

Gil

et al. 2020

J EXP ORTOP

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Multiligament injuries of the knee (MLKI), remain an infrequent pathology especially in developed countries compared to mono-ligament lesions. In Colombia, MLKI is frequent due to the high accident rate on motorcycles. In the city of Bogota alone, about 160 motorcycle accidents have been estimated daily, being one of the cities that proportionately use this means of transport less compared to small cities. The term MLKI, include all ruptures of two or more major ligaments and therefore it has a broad spectrum of clinical presentation which creates a great challenge for the orthopedists and the surgeons envolved in this topic. The literature is rich in studies level IV but very poor in level I and level II, which generates controversies and little consensus in the diagnosis and treatment of this pathology. However there has been a gradual and better understanding of all factors involved in the treatment of MLKI that has improved the functional results of these knees in our patients, in fact we currently are more precise to achieve accurate diagnosis, evolved from not surgical approach to operate most, applying new anatomical and biomechanical concepts, with specialized and skill surgical techniques with more stable and biocompatible fixation implants, which allow in most cases to initiate an early integral rehabilitation program. Nevertheless due to the complexity and severity of the lesions, in some patients the functional results are poor. The goal of this revision is to identify the most frequent controversies in the diagnosis and treatment of MLKI, defining which of them are agreed according to what is reported in the literature and share some concepts based from the experience of more than 25 years of the senior author (MM) in the management of these injuries. Level of Evidence: V-Expert Opinion.

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“…Lavoie et al 90 first reported its clinical use. Since this time there have been conflicting results reported 91 92 followed by various clinical applications, including posterior cruciate ligament reconstruction, 93 multiligament reconstruction following knee dislocation, 94 acromioclavicular joint separation 95 and hip abductor tendon repair. 96 At 6 years postsurgery failure rates of 33% have been reported for ACL reconstruction.…”

Section: Current Concepts Reviewmentioning

confidence: 99%

ACL surgical innovation cycles: what goes around, comes around

2020

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

Cited by 14 publications

References 24 publications

Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis

Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis

Controversies in acute multiligamentary knee injuries (MLKI)

ACL surgical innovation cycles: what goes around, comes around

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

Cited by 14 publications

References 24 publications

Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis

Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis

Controversies in acute multiligamentary knee injuries (MLKI)

ACL surgical innovation cycles: what goes around, comes around

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