Management of the Athlete’s Knee Event Recording-Day 1, Part 4: Indications/Rehabilitation: Bridge-Enhanced Anterior Cruciate Ligament Repair (BEAR)

Day 1, Part 4: Indications/Rehabilitation: Bridge-Enhanced Anterior Cruciate Ligament Repair (BEAR)

Video Transcription

Video Summary

In this video, the presenter discusses the topic of ACL repair using the bridge-enhanced ACL restoration (B.E.A.R.) technique. The presenter shares their personal experience with ACL repair and their transition from hamstring repairs to using B.E.A.R. The presenter emphasizes the importance of considering donor site morbidity, failure rates, and the specific needs of the patient when choosing between different techniques like B.E.A.R., BTB, or quad tendon. The presenter also discusses the use of the B.E.A.R. implant, which is derived from extracellular matrix proteins and collagen, and its unique properties that allow it to bridge the gap in ACL tears. The presenter covers the surgical technique for B.E.A.R., including the use of an endoblade reamer, sutures, and the implant itself. They also mention the potential benefits of B.E.A.R., such as reduced pain and donor site morbidity. The presenter emphasizes the need for further research and studies on B.E.A.R., including comparing it to BTB and evaluating its long-term outcomes and its impact on post-traumatic osteoarthritis. Overall, the presenter's stance on B.E.A.R. is cautious but open to its potential benefits in specific patient populations.

Asset Caption

Lutul D. Farrow, MD

Keywords

ACL repair

B.E.A.R. technique

donor site morbidity

surgical technique

B.E.A.R. implant

reduced pain

long-term outcomes