Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Podium Abstracts Presented at the 2025 Annual Meeting of the Arthroscopy Association of North America.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association·2026

Same author

Identifying the diagnostic utility of artificial intelligence for elbow effusion detection: A systematic review and meta-analysis.

Emergency radiology·2026

Same author

Understanding the long-term clinical effectiveness of L'Episcopo procedure in restoring external rotation & abduction in patients suffering from brachial plexus birth injury: a systematic review & meta-analysis.

Archives of orthopaedic and trauma surgery·2026

Same author

Destructive Giant Cell Tumor of the Capitate: A Unique Case of Carpal Reconstruction.

Hand (New York, N.Y.)·2026

Same author

Parallel vs. Orthogonal dual plating for distal humerus fractures: a systematic review and pooled analysis of functional outcomes and union times.

Journal of orthopaedic surgery and research·2026

Same author

Bridge Enhanced ACL Repair (BEAR) versus Bone Patella Tendon Bone (BPTB) ACL reconstruction among young athletes: A systematic review and meta-analysis.

Journal of orthopaedics·2026

Search research articles

Related Experiment Video

Updated: May 9, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

An Isolated Midsubstance ACL Tear Repaired With the BEAR System.

Patrick F Szukics¹, Brian E Fliegel¹, William F Baker¹

¹Jefferson Health New Jersey, Stratford, New Jersey, USA.

Video Journal of Sports Medicine

|May 1, 2025

Summary

This summary is machine-generated.

The Bridge-Enhanced Anterior Cruciate Ligament Repair (BEAR) implant offers a novel surgical technique for midsubstance ACL tears. This method shows promising results, demonstrating noninferiority to traditional reconstruction methods.

Keywords:

ACL ACL reconstruction ACL repair BEAR ACL BEAR implant

More Related Videos

Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications

Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications

Published on: April 30, 2014

Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts

Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts

Published on: March 26, 2015

Related Experiment Videos

Last Updated: May 9, 2025

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications

Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications

Published on: April 30, 2014

Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts

Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts

Published on: March 26, 2015

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomaterials Science

Background:

Anterior cruciate ligament (ACL) repair historically had high failure rates, leading to decreased use.
The Bridge-Enhanced ACL Repair (BEAR) implant has revitalized interest in primary ACL repair techniques.
The BEAR implant is an arthroscopic technique using a novel implant and autologous blood for midsubstance ACL tears.

Purpose of the Study:

To present a detailed step-by-step surgical technique for isolated midsubstance ACL repair using the BEAR implant.
To outline the indications and methodology for the BEAR implant procedure.
To provide a technical guide for surgeons performing BEAR implant surgery.

Main Methods:

Diagnostic arthroscopy to confirm ACL rupture and tibial stump presence.
Suturing of the residual ACL stump with #2 Vicryl suture.
Creation of femoral and tibial tunnels, followed by Endobutton fixation.
Hydration of the BEAR implant with autologous blood and passage through tunnels.
Tensioning and fixation of the implant to the proximal tibia with a second Endobutton.

Main Results:

The BEAR technique demonstrated noninferiority compared to ACL autograft reconstruction.
Results were assessed using the International Knee Documentation Committee (IKDC) score and anteroposterior laxity measurements.
Improved hamstring strength and a reduced incidence of contralateral ACL tears were observed at 2 years postoperatively.

Conclusions:

The BEAR implant and technique represent a promising advancement in ACL repair.
Initial data suggest favorable outcomes, including improved strength and reduced re-injury rates.
Further long-term studies are necessary to fully establish the clinical efficacy of the BEAR technique compared to traditional autograft reconstructions.