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TimmyP1

melbourne, Victoria, AUSTRALIA


Joined December 12th 2008

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Comment by TimmyP1
on A hypothetical guide to knee reconstructions...

August 8th 2009 16:14
Hey anonymous, I had the LARS surgery in december last year. It's pretty much as unfun as most reco's, but I was back running around in three months, and I've been soccer twice a week since march this year, so no problems there. The one thing about LARS is that there's not a lot of info on how the graft lasts 15-20 years after surgery. Before this time, stats show that it has the same rate of reinjury as the gold standard, with the advantage of not affecting your hamstring, and being able to get back into sport after a relatively short time. Mine was done by Cameron Norsworthy, who's based in richmond, melbourne. Any questions, let me know.

Tim.

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Comment by TimmyP1
on A hypothetical guide to knee reconstructions...

June 10th 2009 13:15
No worries anonymous, good luck with it all.

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Comment by TimmyP1
on A hypothetical guide to knee reconstructions...

April 22nd 2009 10:04
Yeah, i can understand how a hamstring graft might effect a high jumpers performance. The real advantage to the LARS synthetic method is that it's less invasive, in that it doesn't take from your patella or hamstring. I'm not a high jumper, but i can tell you that from three or four months after the surgery, and now, being five months on i can jump as well as i could before i did my ACL. Still, it is experimental, so you'll want to talk to a surgeon. I don't know where you're based, but I'm in melbourne, and Cameron Norsworthy did mine. If you have any questions about it, i did just go through it all, so feel free.

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Comment by TimmyP1
on A hypothetical guide to knee reconstructions...

December 15th 2008 01:57
I don't doubt you were walking unassisted within four days of your surgery, I am, however, assuming that this is not the norm with the hamstring reco? Isn't there usually a fairly extended period on crutches? I may be wrong.

Anyway, i think you're right, and that it is agreed that the synthetic graft is significantly better in the first 9 months, simply due to it's shorter recovery time. It is not any stronger in the long run, but due to the fact that it is less invasive, and the hamstring does not need to recover, you can be back playing contact sports within 3 months.

One thing i must correct you on, the graft is not weaker than the hamstring. The procedure involves reattaching the existing ACL, and reinforcing this with the synthetic ligament. The synthetic ligament itself, is actually stronger than the hamstring initially, yet it will degrade over time. Tests in cadavers have shown that, under normal conditions, the synthetic ligament degrades after 15 - 20 years. This graft is really just there to provide the stability, and the platform for the old ligament to heal, and return to it's original strength. Alongside this, it acts as a ligament for the first few years.

Admittedly, as the procedure is reasonably new, there are insufficient long term results to compare the different methods. After five years, it has been shown that there is no difference between the two, and that the rates of re-injury are the same.There are some results suggesting the same after 10-15 years, but nothing medically conclusive. So, really, it is still an experiment, for people willing to participate.

Also, there is not a significantly greater chance of infection. The rates are, statistically, the same.

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