Anterior Cruciate Ligament Reconstruction with LARS Artificial Ligament—Clinical Results after a Long-Term Follow-Up

Paolo Domenico Parchi; Gianluca Ciapini; Carlo Paglialunga; Michele Giuntoli; Carmine Picece; Fabio Chiellini; Michele Lisanti; Michelangelo Scaglione

doi:10.1055/s-0038-1653950

Joints, Table of Contents

CC BY-NC-ND 4.0 · Joints 2018; 06(02): 075-079
DOI: 10.1055/s-0038-1653950

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Anterior Cruciate Ligament Reconstruction with LARS Artificial Ligament—Clinical Results after a Long-Term Follow-Up

Paolo Domenico Parchi

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Gianluca Ciapini

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Carlo Paglialunga

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Michele Giuntoli

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Carmine Picece

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Fabio Chiellini

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Michele Lisanti

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

,

Michelangelo Scaglione

¹1st Orthopedic Division of Pisa University, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy

› Author Affiliations

Abstract

Purpose The aim of this retrospective study was to evaluate the subjective and functional outcome of anterior cruciate ligament (ACL) reconstruction with the synthetic Ligament Advanced Reinforcement System (LARS) ligament.

Methods Twenty-six patients were reviewed at an average follow-up of 11.6 years. Objective clinical evaluation was performed with stability tests. Patient-reported outcomes (Visual Analogue Scale, Knee Injury and Osteoarthritis Outcome Score, and Cincinnati Knee Rating Scale) were used to assess subjective and functional outcomes.

Results Overall satisfactory results were obtained in 22 cases (84.6%). Four patients (15.4%) showed mechanical failure of the graft. No cases of synovitis or infection were reported.

Conclusion LARS ligament can be considered a safe and suitable option for ACL reconstruction in carefully selected cases, especially elderly patients needing a rapid postoperative recovery.

Level of Evidence Level IV, retrospective case series.

Keywords

anterior cruciate ligament - reconstruction - ligament reinforcement - artificial ligament - LARS ligament

Full Text

References

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