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

被引：6
作者：
Du, Yuanliang [1 ]
Dai, Haifeng [1 ]
Wang, Zhihui [1 ]
Wu, Di [1 ]
Shi, Changjiang [1 ]
Xiao, Tianjie [1 ]
Li, Zhihuai [1 ]
机构：
[1] Chengde Med Univ, Dept Joint Surg, Affiliated Hosp, 36 Nanyingzi St, Chengde, Heibei Province, Peoples R China
来源：
BMC MUSCULOSKELETAL DISORDERS | 2020年 / 21卷 / 01期
关键词：
Anterior cruciate ligament; ACL; Ligament advanced reinforcement system; LARS; Osteoarthritis; Ligament reconstruction; STABLE STIFLE JOINTS; KNEE STABILITY; FOLLOW-UP; SYNOVITIS; DOGS;
D O I：
10.1186/s12891-020-03764-7
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
BackgroundA 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 presentationWe report a rare case of serious osteoarthritis that occurred 2years 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.ConclusionOur findings remind surgeons that an LARS device should be with great caution in ACL reconstruction.
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页数：6
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