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UMIN, UMIN000032826 ; 1 September 2018. UMIN, UMIN000032826 ; 1 September 2018. A ligament advanced reinforcement system (LARS) artificial ligament has been proposed for use in anterior cruciate ligament (ACL) reconstruction, and many reports have shown its success in ACL reconstruction. However, there are great concerns about the potential risk of complications, which might prevent its extensive use. Late failure may occur due to serious complications. We report a rare case of serious osteoarthritis that occurred 2 years postoperatively in a 51-year-old ma