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  • Doctor
    Bay 29
    • Sep 2003
    • 2757

    Originally posted by goswannies
    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.
    So if used the second way, does it still decrease recovery time or is the main benefit that it aids healing during that six-twelve week period post surgery when the graft is at it's weakest?
    Today's a draft of your epitaph

    Comment

    • AnnieH
      RWOs Black Sheep
      • Aug 2006
      • 11332

      Originally posted by goswannies
      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.
      You should go into medicine.
      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

      • goswannies
        Senior Player
        • Sep 2007
        • 3053

        Originally posted by Doctor
        So if used the second way, does it still decrease recovery time or is the main benefit that it aids healing during that six-twelve week period post surgery when the graft is at it's weakest?
        A little bit of column A, much more of column B

        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

        • goswannies
          Senior Player
          • Sep 2007
          • 3053

          Originally posted by AnnieH
          You should go into medicine.
          What?! ... and earn a decent wage and be able to retire before I’m 70? And not get the blame when things go wrong or get recognition for my efforts when things go well? Why on earth would I want to enjoy that lifestyle?
          Last edited by goswannies; 17 August 2018, 11:26 AM.

          Comment

          • Industrial Fan
            Goodesgoodesgoodesgoodes!
            • Aug 2006
            • 3318

            Originally posted by S.S. Bleeder
            Nice. I got Juniors. For sentimental reasons more so than an investment. I bought it for my mum. Her dad wore no.12 in the 1918 premiership. I think AJs could turn out to be a good buy in the long run.
            Its not an investment, I'm giving it back to AJ
            He ate more cheese, than time allowed

            Comment

            • AnnieH
              RWOs Black Sheep
              • Aug 2006
              • 11332

              Originally posted by Industrial Fan
              Its not an investment, I'm giving it back to AJ
              Oh bless IF.
              I'm a little teary... but that's ok. I'm a chick.
              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

              • goswannies
                Senior Player
                • Sep 2007
                • 3053

                Originally posted by S.S. Bleeder
                Nice. I got Juniors. For sentimental reasons more so than an investment. I bought it for my mum. Her dad wore no.12 in the 1918 premiership. I think AJs could turn out to be a good buy in the long run.
                Originally posted by Industrial Fan
                Its not an investment, I'm giving it back to AJ
                The two best posts on this topic!!

                Comment

                • KTigers
                  Senior Player
                  • Apr 2012
                  • 2499

                  Originally posted by goswannies
                  What?! ... and earn a decent wage and be able to retire before I’m 70? And not get the blame when things go wrong or get recognition for my efforts when things go well? Why on earth would I want to enjoy that lifestyle?
                  I think you are about half right on this one mate. Yes, they earn good money and most are semi-retired before they hit 60, partially because
                  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

                  • goswannies
                    Senior Player
                    • Sep 2007
                    • 3053

                    Originally posted by KTigers
                    I think you are about half right on this one mate. Yes, they earn good money and most are semi-retired before they hit 60, partially because they can get blamed
                    when things don't go so well, and get very little recognition when things go okay.
                    Just comparing their profession to my job (& more that AnnieH knows me - certainly don’t begrudge the docs their well deserved income)

                    Comment

                    • CureTheSane
                      Carpe Noctem
                      • Jan 2003
                      • 5032

                      Originally posted by Industrial Fan
                      Its not an investment, I'm giving it back to AJ
                      So long as you weren't pressured in to that decision.
                      You are entitled to keep it completely guilt free.
                      The difference between insanity and genius is measured only in success.

                      Comment

                      • Sandridge
                        Outer wing, Lake Oval
                        • Apr 2010
                        • 2104

                        Originally posted by Industrial Fan
                        Its not an investment, I'm giving it back to AJ
                        You're a champ, IF! ????

                        I'm sure it will mean heaps to AJ!

                        Comment

                        • Industrial Fan
                          Goodesgoodesgoodesgoodes!
                          • Aug 2006
                          • 3318

                          Originally posted by CureTheSane
                          So long as you weren't pressured in to that decision.
                          You are entitled to keep it completely guilt free.
                          I understand the sentiment there CTS, but no pressure in the decision at all - I only bought it to give it back to him, its only money...

                          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 allowed

                          Comment

                          • Nico
                            Veterans List
                            • Jan 2003
                            • 11355

                            Originally posted by Industrial Fan
                            Its not an investment, I'm giving it back to AJ
                            Well done. Nice gesture.
                            http://www.nostalgiamusic.co.uk/secu...res/srh806.jpg

                            Comment

                            • Doctor J.
                              Senior Player
                              • Feb 2003
                              • 1310

                              Originally posted by S.S. Bleeder
                              Nice. I got Juniors. For sentimental reasons more so than an investment. I bought it for my mum. Her dad wore no.12 in the 1918 premiership. I think AJs could turn out to be a good buy in the long run.
                              I looked up your grandfather's career. One season, 15 games for 14 wins and a loss. He is the 20th century Mitch Morton.

                              Well done on getting that jumper. What a brilliant reason for bidding for it.

                              Originally posted by Industrial Fan
                              Its not an investment, I'm giving it back to AJ

                              Comment

                              • S.S. Bleeder
                                Senior Player
                                • Sep 2014
                                • 2165

                                Originally posted by Doctor J.
                                I looked up your grandfather's career. One season, 15 games for 14 wins and a loss. He is the 20th century Mitch Morton.
                                Well done on getting that jumper. What a brilliant reason for bidding for it.
                                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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