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General Orthopaedics

ANTERIOR CRUCIATE LIGAMENT REPAIR WIH SYNTHETIC LIGAMENT AUGMENTATIO

Australian Orthopaedic Association Limited (AOA)



Abstract

Introduction

Anterior cruciate ligament (ACL) reconstructive surgery is one of the most commonly performed surgical procedures. Synthetic ACL repair surgery with the Lars ligament is designed to repair, rather than replace, the torn ACL. Once the ACL is repaired, the level of function, biomechanical attributes and proprioception should be similar to the pre-injury state.

All patients in this cohort have undergone surgical repair of the torn ACL with synthetic Lars ligament augmentation. The indications and surgical technique will be outlined.

Patients have been assessed at follow-up with KOOS and Marx scores, which reflect the surgical outcome. The preliminary results with a six-month minimum follow-up will be presented. The results reflect previous published studies that show that surgical repair of the torn ACL with Lars ligament augmentation, can reliably and reproducibly stabilise the knee and allow an early return to sport. Complications include one septic arthritis, superficial wound infections and improperly placed bone tunnels.

Synthetic ACL repair using the Lars ligament is a reprodicible technique that allows a rapid post-operative rehabilitation and avoids all complications relating to graft harvesting. The indications and the surgical technique are quite specific and must be adhered to in order to achieve the best results.