Greffe tendineuse courte aux ischio-jambiers augmentée par ligament artificiel LARS® versus greffe aux ischio-jambiers quatre faisceaux dans les reconstructions du LCA : résultats préliminaires

Abstract

BackgroundThis retrospective study compares the results of reconstruction of isolated chronic anterior cruciate ligament rupture using augmented short and small sized hamstring tendon graft with ligament advanced artificial reinforcement system (LARS®) versus a four-strand hamstring tendon graft (4-SHG). Our hypothesis was that postoperative knee stability after using augmented short length or small diameter hamstring tendon graft with LARS® artificial ligament could be significant and satisfactory more than 4-strand hamstring tendon graft group. Materials and methodsBetween June 2007–July 2008, 72 patients were divided into a LARS® augmented group (n=27) and a 4-SHG group (n=45). ResultsMean FU is 5 years. KT 1000 examinations showed that the LARS® group had significantly less anterior displacement than the 4-SHG group (P=0.013). IKDC score demonstrated statistically significant differences (P=0.05). ConclusionsOur study indicates that early results of augmenting short length or small diameter harvested hamstring tendons with LARS® in ACL reconstruction provides satisfactory, comparable results and displayed higher knee stability compared to 4-SHG group. Level of evidenceLevel III (case control study).