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What is LARS?

By Jordan Gerrans
16 January 2013 03:00PM EST

LUCKLESS Fremantle midfielder Anthony Morabito follows a growing trend of radical knee surgery in a bid to revive his injury ravaged AFL career.

The Ligament Augmentation and Reconstruction System has been around for world class athletes for more than two decades.

Morabito joins Sydney premiership hero Nick Malceski, Port Adelaide forward Brett Ebert and gritty Melbourne rover David Rodan to undergo the treatment which implants synthetic fibre as replacement for a snapped ACL in the knee.

Morabito is the highest profile West Australian based budding AFL star to opt for the contentious LARS process. 

The process was developed by French surgeon Professor JP Laboreau for European sport stars but had not been used in Australian sport (especially AFL) until 2008.

Malceski underwent the LARS surgery on his right knee and was able to return to play in Round 8 of the same season, missing a total of 15 weeks rather than a full 12 months a regular ACL surgery would take.

Other AFL players to undergo the surgery are Josh Drummond (Brisbane), Brad Fisher (Carlton), Campbell Heath (Sydney) and Brent Staker (Brisbane).

Leading Australian and AFL sports medical expert Dr Peter Larkins explains that "the LARS ligament is made from polythylene, and industrial strength polyester fibre which is specially treated to encourage the patient's own tissue to grow in and around its woven porous fibres".

The LARS surgery provides a much faster return to AFL football than the regular ACL surgery but is not 100 per cent proven.

Malceski was the first AFL player to have the radical LARS surgery back in 2008 but was forced to have the surgery again in 2011.

"The enthusiasm demonstrated by the vocal proponents of LARS surgery for knee ACL in AFL players was somewhat dampened when David Rodan ruptured his ACL graft some 11 months after having had the original procedure," Larkins said on his website.

Brisbane's Staker ruptured his right ACL in March 2011 he then underwent a LARS operation and returned to play at senior AFL level in Round 17.

Staker only managed five games before rupturing his LARS graft in Round 23 and missed the bulk of the 2012 season.

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