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Favorable results found with synthetic ligament system for PCL reconstruction
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Researchers of this database review discovered the few studies that examined a third generation synthetic ligament system for posterior cruciate ligament reconstruction noted low complication rates.
“There is little evidence on the effectiveness of PCL [posterior cruciate ligament] reconstructions using LARS ligaments [Surgical Implants and Devices; Arc-sur-Tille, France]. What data there are show great promise, with short- and medium-term outcome data appearing favorable to autograft reconstruction. Complication rates are encouragingly low,” the authors wrote in their study.
Christian Smith, MBBS, BSc (Hons), MSc, MRCS, and colleagues searched multiple databases using the terms Ligament Advanced Reinforcement System (LARS) and posterior or LARS and PCL.
Overall, five studies were included in the final review of 129 PCL reconstructions performed with LARS. The follow-up ranged from 10.5 months to 44 months. Smith and colleagues found Lysholm scores improved from a mean of 64.8 points preoperatively to 89.8 postoperatively. According to study results, no patients had IKDC grade 1 or 2 preoperatively. However, 93% of patients achieved IKDC grade 1 or 2 postoperatively. Researchers found one case of synovitis and one case of graft rupture.
Disclosure: The researchers report no relevant financial disclosures.
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