Code review often requires reasoning beyond local correctness. In mature software systems, reviewers must recognize design trade-offs introduced by a proposed change, compare alternative solutions, and reason about their compatibility with project-specific constraints. We refer to this problem as design-aware code review. However, existing automated review approaches primarily focus on defects and correctness, while the design knowledge accumulated in historical review discussions remains difficult to reuse. To address these challenges, we present DesignLore, a knowledge-augmented approach that extracts design decisions from historical review discussions, organizes them into an adaptive design taxonomy, and reuses relevant historical knowledge to guide code review. We further construct DesignReviewBench, a benchmark derived from real patch-review histories for systematically evaluating design-aware code review. Our evaluation shows that design-aware review remains challenging for current coding agents, with the strongest baseline achieving an F1 of only 0.213 on design trade-off detection. In comparison, DesignLore achieves an F1 of 0.259, a 21.6% relative improvement, and consistently delivers gains across different agent systems and backbone. These results highlight the importance of design-aware review and demonstrate the potential of recovering and reusing historical design knowledge to support it.

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