{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T22:46:42Z","timestamp":1791067602958,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100002855","name":"Ministry of Science and Technology of the People's Republic of China","doi-asserted-by":"publisher","award":["2009CB930000"],"award-info":[{"award-number":["2009CB930000"]}],"id":[{"id":"10.13039\/501100002855","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this multicenter study was to evaluate the clinical outcome of anterior cruciate ligament (ACL) reconstruction by use of the Ligament Advanced Reinforcement System (LARS) artificial ligament (Surgical Implants and Devices, Arc\u2010sur\u2010Tille, France) with 3\u2010 to 5\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From August 2004 to July 2006, 159 patients with ACL rupture underwent arthroscopic ACL reconstruction with LARS artificial ligament at 4 orthopaedic sports medicine centers in China. They were retrospectively followed up for 50 \u00b1 6 months (range, 36 to 62 months). Outcome assessment included physical examination, KT\u20101000 arthrometer testing (MEDmetric, San Diego, CA), magnetic resonance imaging, radiography, Lysholm score, Tegner score, International Knee Documentation Committee score, and subjective satisfaction rate. Quadriceps and hamstring isokinetic strength was evaluated in 68 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The side\u2010to\u2010side difference in anterior translation (injured side \u2212 uninjured side) measured by KT\u20101000 arthrometer was 1.5 \u00b1 1.6 mm (range, \u22121 to 7 mm) postoperatively, and knee stability was significantly improved compared with preoperative data (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Quadriceps and hamstring isokinetic peak torque of the injured limb expressed as a percentage of the contralateral limb was 93.6 \u00b1 10.7 and 95.8 \u00b1 12.0, respectively. The Lysholm score improved from 65.1 \u00b1 12.3 points (range, 30 to 95 points) preoperatively to 94.5 \u00b1 7.0 points (range, 65 to 100 points) postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). The Tegner score improved from 3.1 \u00b1 1.6 (range, 0 to 6) preoperatively to 6.1 \u00b1 1.5 (range, 1 to 9) postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). According to the International Knee Documentation Committee score, 94% of patients were graded A or B at last follow\u2010up. Ninety\u2010three percent of patients were very satisfied or satisfied with their outcome. LARS artificial ligament rupture occurred in 3 patients; knee synovitis developed in 1 of these patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACL reconstruction with LARS artificial ligament used in patients with the ACL stump preserved in the acute and chronic phases has a very good outcome at mean of 50 months' follow\u2010up. The overall complication rate for ACL reconstruction with LARS artificial ligament is 5.7%, and knee synovitis developed in only 1 case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2010.02.001","type":"journal-article","created":{"date-parts":[[2010,4,2]],"date-time":"2010-04-02T04:35:21Z","timestamp":1270182921000},"page":"515-523","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":145,"title":["Anterior Cruciate Ligament Reconstruction With LARS Artificial Ligament: A Multicenter Study With 3\u2010 to 5\u2010Year Follow\u2010up"],"prefix":"10.1002","volume":"26","author":[{"given":"Kai","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Sports Medicine and Arthroscopic Surgery Huashan Hospital Sports Medicine Center Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopic Surgery Huashan Hospital Sports Medicine Center Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lide","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery First Affiliated Hospital Dalian Medical University Dalian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiguo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery First Affiliated Hospital Dalian Medical University Dalian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifan","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Changhai Hospital Second Military Medical University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qirong","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital Suchow University Suchow China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haibin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital Suchow University Suchow China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery First Affiliated Hospital Dalian Medical University Dalian 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}