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BMC Musculoskeletal Disorders

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Open Access 01-12-2020 | Osteoarthrosis | Case report

A case report of traumatic osteoarthritis associated with LARS artificial ligament use in anterior cruciate ligament reconstruction

Authors: Yuanliang Du, Haifeng Dai, Zhihui Wang, Di Wu, Changjiang Shi, Tianjie Xiao, Zhihuai Li

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

Abstract

Background

A ligament advanced reinforcement system (LARS) artificial ligament has been proposed for use in anterior cruciate ligament (ACL) reconstruction, and many reports have shown its success in ACL reconstruction. However, there are great concerns about the potential risk of complications, which might prevent its extensive use. Late failure may occur due to serious complications.

Case presentation

We report a rare case of serious osteoarthritis that occurred 2 years postoperatively in a 51-year-old man who underwent reconstruction with an LARS artificial ligament. In X-rays, the tibial tunnel was placed too posteriorly. MRI showed that the tibial tunnel was enlarged, and there was a large effusion in the knee joint. The LARS device was rough and worn. Histologically, a large number of fibroblasts and a few multinucleated giant cells infiltrated the graft fibres.

Conclusion

Our findings remind surgeons that an LARS device should be with great caution in ACL reconstruction.

Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009;12:622–7. https://doi.org/10.1016/j.jsams.2008.07.005.CrossRefPubMed

Chaudhari AM, Briant PL, Bevill SL, Koo S, Andriacchi TP. Knee kinematics, cartilage morphology, and osteoarthritis after ACL injury. Med Sci Sports Exerc. 2008;40:215–22. https://doi.org/10.1249/mss.0b013e31815cbb0e.CrossRefPubMed

George MS, Dunn WR, Spindler KP. Current concepts review: revision anterior cruciate ligament reconstruction. Am J Sports Med. 2006;34:2026–37. https://doi.org/10.1177/0363546506295026.CrossRefPubMed

Sajovic M, Strahovnik A, Dernovsek MZ, Skaza K. Quality of life and clinical outcome comparison of semitendinosus and gracilis tendon versus patellar tendon autografts for anterior cruciate ligament reconstruction: an 11-year follow-up of a randomized controlled trial. Am J Sports Med. 2011;39:2161–9. https://doi.org/10.1177/0363546511411702.CrossRefPubMed

Lewek MD, Chmielewski TL, Risberg MA, Snyder-Mackler L. Dynamic knee stability after anterior cruciate ligament rupture. Exerc Sport Sci Rev. 2003;31:195–200.CrossRef

Hulet C, Sonnery-Cottet B, Stevenson C, Samuelsson K, Laver L, Zdanowicz U, et al. The use of allograft tendons in primary ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2019;27:1754–70. https://doi.org/10.1007/s00167-019-05440-3.CrossRefPubMed

Machotka Z, Scarborough I, Duncan W, Kumar S, Perraton L. Anterior cruciate ligament repair with LARS (ligament advanced reinforcement system): a systematic review. Sports Med Arthrosc Rehabil Ther Technol. 2010;2:29. https://doi.org/10.1186/1758-2555-2-29.CrossRefPubMedPubMedCentral

Lavoie P, Fletcher J, Duval N. Patient satisfaction needs as related to knee stability and objective findings after ACL reconstruction using the LARS artificial ligament. Knee. 2000;7:157–63.CrossRef

Jia Z, Xue C, Wang W, Liu T, Huang X, Xu W. Clinical outcomes of anterior cruciate ligament reconstruction using LARS artificial graft with an at least 7-year follow-up. Medicine (Baltimore). 2017;96:e6568. https://doi.org/10.1097/MD.0000000000006568.CrossRef

10.

Iliadis DP, Bourlos DN, Mastrokalos DS, Chronopoulos E, Babis GC. LARS artificial ligament versus ABC purely polyester ligament for anterior cruciate ligament reconstruction. Orthop J Sports Med. 2016;4:2325967116653359. https://doi.org/10.1177/2325967116653359.CrossRefPubMedPubMedCentral

11.

Ranger P, Senay A, Gratton GR, Lacelle M, Delisle J. LARS synthetic ligaments for the acute management of 111 acute knee dislocations: effective surgical treatment for most ligaments. Knee Surg Sports Traumatol Arthrosc. 2018;26:3673–81. https://doi.org/10.1007/s00167-018-4940-4.CrossRefPubMed

12.

Parchi PD, Ciapini G, Paglialunga C, Giuntoli M, Picece C, Chiellini F, et al. Anterior cruciate ligament reconstruction with LARS artificial ligament-clinical results after a long-term follow-up. Joints. 2018;6:75–9. https://doi.org/10.1055/s-0038-1653950.CrossRefPubMedPubMedCentral

13.

Bianchi N, Sacchetti F, Bottai V, Gesi M, Carlisi A, Facchini A, et al. LARS versus hamstring tendon autograft in anterior cruciate ligament reconstruction: a single-Centre, single surgeon retrospective study with 8 years of follow-up. Eur J Orthop Surg Traumatol. 2019;29:447–53. https://doi.org/10.1007/s00590-018-2304-x.CrossRefPubMed

14.

Ochen Y, Beks RB, Emmink BL, Wittich P, van der Velde D, Houwert RM, et al. Surgical treatment of acute and chronic AC joint dislocations: five-year experience with conventional and modified LARS fixation by a single surgeon. J Orthop. 2020;17:73–7. https://doi.org/10.1016/j.jor.2019.08.030.CrossRefPubMed

15.

Gao K, Chen S, Wang L, Zhang W, Kang Y, Dong Q, et al. Anterior cruciate ligament reconstruction with LARS artificial ligament: a multicenter study with 3- to 5-year follow-up. Arthroscopy. 2010;26:515–23. https://doi.org/10.1016/j.arthro.2010.02.001.CrossRefPubMed

16.

Doganavsargil B, Pehlivanoglu B, Bicer EK, Argin M, Bingul KB, Sezak M, et al. Black joint and synovia: Histopathological evaluation of degenerative joint disease due to Ochronosis. Pathol Res Pract. 2015;211:470–7. https://doi.org/10.1016/j.prp.2015.03.001.CrossRefPubMed

17.

McCarthy TC. Synovitis in dogs with stable stifle joints and incipient cranial cruciate ligament rupture. Vet Surg. 2012;41:540; author reply 540. https://doi.org/10.1111/j.1532-950X.2011.00982.x.CrossRefPubMed

18.

Bleedorn JA, Greuel EN, Manley PA, Schaefer SL, Markel MD, Holzman G, et al. Synovitis in dogs with stable stifle joints and incipient cranial cruciate ligament rupture: a cross-sectional study. Vet Surg. 2011;40:531–43. https://doi.org/10.1111/j.1532-950X.2011.00841.x.CrossRefPubMed

19.

Tiefenboeck TM, Thurmaier E, Tiefenboeck MM, Ostermann RC, Joestl J, Winnisch M, et al. Clinical and functional outcome after anterior cruciate ligament reconstruction using the LARS™ system at a minimum follow-up of 10 years. Knee. 2015;22:565–8. https://doi.org/10.1016/j.knee.2015.06.003.CrossRefPubMed

20.

Kordasiewicz B, Małachowski K, Kiciński M, Chaberek S, Boszczyk A, Marczak D, et al. Intraoperative graft-related complications are a risk factor for recurrence in arthroscopic Latarjet stabilisation. Knee Surg Sports Traumatol Arthrosc. 2019;27:3230–9. https://doi.org/10.1007/s00167-019-05400-x.CrossRefPubMedPubMedCentral

21.

Estrada-Cruz K, Pérez-Meave JA. Postoperative functional angular anatomy in patients with anterior cruciate ligament with autologous graft. Acta Ortop Mex. 2018;32:157–62.PubMed

22.

Amis AA, Kempson SA. Failure mechanisms of polyester fiber anterior cruciate ligament implants: a human retrieval and laboratory study. J Biomed Mater Res. 1999;48:534–9.CrossRef

Title: A case report of traumatic osteoarthritis associated with LARS artificial ligament use in anterior cruciate ligament reconstruction
Authors: Yuanliang Du
Haifeng Dai
Zhihui Wang
Di Wu
Changjiang Shi
Tianjie Xiao
Zhihuai Li
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Osteoarthrosis
Osteoarthrosis
Published in: BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-020-03764-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A case report of traumatic osteoarthritis associated with LARS artificial ligament use in anterior cruciate ligament reconstruction

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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