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Catalog excerpts

LARS - 1

LARS™ ACL Best practice guidelines

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LARS - 2

LARS™ ACL Corin is committed to providing up-to-date clinical and educational support to healthcare practitioners worldwide to ensure that best practice guidelines are promoted in each of our geographies, in line with our culture and dedication to delivering Responsible Innovation. The following positioning statement has been produced to identify key indications and surgical criteria necessary for the successful use of LARS™ in ACL applications. 2 As a third generation synthetic ligament, LARS™ has demonstrated excellent clinical results in both intra- and extra-articular applications over...

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LARS - 3

Indications for use Contraindications for use LARS™ is a synthetic scaffold designed to provide initial stability, facilitating the potential of the original ligament to heal whilst eliminating post-operative elongation. The LARS™ ligament provides a conservative choice of graft for ACL reconstructions but is contraindicated for use in the following circumstances: ■■ The primary indication for use of LARS™ ACL is in conjunction with wellvascularised tissue remnants, allowing preservation of fibroblasts to propagate tissue in-growth and mechanoreceptors to restore proprioceptive function. --...

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LARS - 4

Best practice guidelines The following best practice guidelines should be adhered to when conducting a LARS™ ACL ligament repair: ■■ Ligament positioning ■■ ■■ ■■ 4 The LARS™ fibres should be placed as close to the centre of the remnants of the native ligament as possible. This allows tissue encapsulation and microseparation of the ligament fibres providing strong fixation and minimising the potential for long-term wear of the material due to fibre abrasions. If possible the remnants should be sutured together with the LARS™ positioned in the centre of the stump. It is important to avoid...

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LARS - 5

■■ ■■ Fixation of the ligament must always be conducted using blunt threaded non-resorbable LARS™ interference screws, which should be at least 1mm bigger than the tunnel size, with the longest length permissible, dependent on tunnel length. Secondary fixation with an additional screw or staple is recommended for the tibia. The interference screws must be positioned from outsidein, with the head of the screw resting against the cortex. It is crucial that the screw is not embedded beyond the cortex to ensure optimal cortical fixation is achieved. The ligament extremities must be cut flush...

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LARS - 6

A responsible approach to ACL repairs 6

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Corin educational support As part of Corin’s responsible approach to the promotion and ethical use of LARS™ ligaments, a number of educational and training initiatives have been developed to ensure best practice guidelines are observed. It is highly recommended that surgeons review and utilise these materials prior to conducting LARS™ ACL reconstructions. Surgeon support ■■ www.coringroup.com/lars_training LARS™ instructional courses Provide surgeons with an introductory overview entailing presentations, dry bone workshops and live surgery links, aimed at promoting a greater understanding...

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