Reinforcing Biology

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Reinforcing Biology



Providing strength and stability to ligament repair and reconstruction (1,3,5)

  • Reinforce autologous graft or damaged native ligament (1,3,5,6)
  • Accelerate rehabilitation by preventing excessive graft stretch and laxity (3,5)


Designed to address a variety of indications.

  • High strength-to-volume ratio allows maximal native tissue utilisation with multiple upper and lower limb augmentation techniques(1,2,4,6,7).
  • Refined instrumentation facilitates ease of use.


Immediate biocompatibility with survivorship data to 10 years (4,6).

  • Facilitates adherence and on-growth of fibroblasts and tenocytes (7,8).
  • Clinical and functional outcomes to 10 years when augmenting native tissue (4,6).


  1. Ebert, J., & Annear, P. (2019). ACL Reconstruction Using Autologous Hamstrings Augmented With the Ligament Augmentation and Reconstruction System Provides Good Clinical Scores, High Levels of Satisfaction and Return to Sport, and a Low Retear Rate at 2 Years. Orthopaedic Journal Of Sports Medicine, 7(10), 232596711987907.
  2. Ebert, J., Brogan, K., & Janes, G. (2020). A Prospective 2-Year Clinical Evaluation of Augmented Hip Abductor Tendon Repair. Orthopaedic Journal Of Sports Medicine, 8(1), 232596711989788.
  3. Falconer, T., Tusak, L., Breidahl, W., & Annear, P. (2015). The LARS augmented 4-tunnel hamstring “hybrid” ACLR graft construction allows accelerated rehabilitation without knee laxity — case series of 111 patients after 2 years. Journal of Musculoskeletal Research, 18(04), 1550020.
  4. Gliatis, J., Anagnostou, K., Tsoumpos, P., Billis, E., Papandreou, M., & Plessas, S. (2018). Complex knee injuries treated in acute phase: Long-term results using Ligament Augmentation and Reconstruction System artificial ligament. World Journal of Orthopedics, 9(3), 24-34.
  5. Hamido, F., Al Harran, H., Al Misfer, A., El Khadrawe, T., Morsy, M., & Talaat, A. et al. (2015). Augmented short undersized hamstring tendon graft with LARS® artificial ligament versus four-strand hamstring tendon in anterior cruciate ligament reconstruction: preliminary results. Orthopaedics & Traumatology: Surgery & Research, 101(5), 535-538.
  6. Ranger, P., Senay, A., Gratton, G., Lacelle, M., & Delisle, J. (2018). LARS synthetic ligaments for the acute management of 111 acute knee dislocations: effective surgical treatment for most ligaments. Knee Surgery, Sports Traumatology, Arthroscopy, 26(12), 3673-3681.
  7. Smith, R., Carr, A., Dakin, S., Snelling, S., Yapp, C., & Hakimi, O. (2016). The response of tenocytes to commercial scaffolds used for rotator cuff repair. European Cells And Materials, 31, 107-118.
  8. Trieb, K., Blahovec, H., Brand, G., Sabeti, M., Dominkus, M., & Kotz, R. (2004). In vivo and in vitro Cellular Ingrowth into a New Generation of Artificial Ligaments. European Surgical Research, 36(3), 148-151.


Watch ACJ Reconstruction - Professor Lennard Funk

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Watch ACL Reconstruction animation

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Watch Gluteal Repair Surgery - Dr. Greg Janes

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Watch PCL Surgery

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