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One thing that is often overlooked in the LARS debates is the initial intention of the graft.
LARS is an acronym for Ligament Augmentation and Reconstruction System. The artificial LARS graft can be used in one of two ways.
1) as a “stand alone” reconstruction (ie it’s a synthetic ligament that just replaces the torn ACL) in which case it’s similar to every other synthetic graft and prone to failure. The advantage is the quick recovery as stated in the article you linked. It’s also possibly better than the older carbon fibre synthetic grafts that degraded and left micro particles that the body reacted to.
2) LARS ligaments can be used in conjunction with suturing to the remaining section of the ruptured ligament (or perhaps augmenting an autologous patella tendon / hamstring graft). This is the true benefit of a LARS graft. You get the benefit of early strength provided by the synthetic ligament when the healing ACL is biologically at its weakest, but you will get the strength of a fully healed ACL at later stages of rehab when a synthetic graft may not be strong enough to withstand the rigours of sport.
Unfortunately it was more commonly used the first way.
Wild speculation, unsubstantiated rumours, silly jokes and opposition delight in another's failures is what makes an internet forum fun.
Blessed are the cracked for they are the ones who let in the light.Comment
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It allows you to do more during that early period (when the graft would be at greater risk of compromise) which advances things for the later period.
The graft was first developed in France and the rehab protocol that they developed in conjunction does accelerate things. However it doesn’t take into account the unique rigours of Aussie sports such as football or netball.Last edited by goswannies; 17 August 2018, 11:28 AM.Comment
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He ate more cheese, than time allowedComment
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Wild speculation, unsubstantiated rumours, silly jokes and opposition delight in another's failures is what makes an internet forum fun.
Blessed are the cracked for they are the ones who let in the light.Comment
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they can get blamed when things don't go so well, and get very little recognition when things go okay. I reckon Alex should give it another go.Comment
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(& more that AnnieH knows me - certainly don’t begrudge the docs their well deserved income)
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If anything was slightly motivated by KT Tigers getting the tshirts printed for Goodes a few years back and wish I could have contributed to that too.He ate more cheese, than time allowedComment
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Well done on getting that jumper. What a brilliant reason for bidding for it.
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LOL, yep. He was very lucky. He went back to the bush to get employment after that. Back then the playing in the VFL wasn't as important as it is now and they didn't get paid. He even had to hock his premiership thing (I don't recall what they got but wasn't a medallion. It may have been a cap). An interesting fact for you. He, like many others, tried to enlist for WW1 but was rejected because his heart rate was so slow. Back then they thought that was a sign of bad health, as oppossed to being very aerobically fit as we now know.Comment
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