How Are ACLR and ACL Repair Different? | Dr. Gregory DiFelice скачать в хорошем качестве

How Are ACLR and ACL Repair Different? | Dr. Gregory DiFelice

Dr. Gregory DiFelice explains how ACL reconstruction (ACLR) uses a tendon graft to create stability in the knee, whereas ACL repair achieves the same goal by getting the ligament to heal instead of replacing it. #BEARacl #BEARimplant #ACLtear #ACLsurgery #ACLrestoration #savetheACL ‪@gregorysdifelicemd5578‬ --- About the Speaker Gregory DiFelice, MD, is a sports traumatology surgeon at HSS in New York City. He is a leader in ACL repair and has performed dozens of BEAR Implant surgeries. --- Resources For more information on the BEAR Implant, visit https://miachortho.com/healthcare-pro... To find a surgeon who offers the BEAR Implant, visit https://miachortho.com/find-a-surgeon If you have any questions about the BEAR Implant, please comment below or contact us at https://miachortho.com/about-us/conta... --- Follow us on our social media channels Facebook –   / miachortho   LinkedIn –   / miachortho   Instagram –   / bearimplant   TikTok –   / bear_implant   --- About the BEAR® Implant The BEAR Implant is a bovine extracellular matrix collagen-based implant for treatment of anterior cruciate ligament (ACL) injuries. The BEAR Implant is indicated for adults, adolescents and children with a complete or partial rupture of the ACL, as confirmed by MRI. Patients must have an ACL stump attached to the tibia to construct the repair. Children with open physes must have sufficient bone in the femoral and tibial epiphyses on either side of the intended tunnel locations to avoid disruption of the growth plates. Visit https://miachortho.com/instructions-f... for complete product information, including Instructions for Use. --- About Miach Orthopaedics, Inc. Miach Orthopaedics, Inc., is a privately held company located in Westborough, Massachusetts, dedicated to developing surgical implants to facilitate connective tissue restoration. The company’s initial focus is the BEAR® Implant, which represents a paradigm shift in the treatment of ACL tears. BEAR Implant is a registered trademark of Miach Orthopaedics. ©2025 Miach Orthopaedics. All rights reserved. ML-1322 Rev A 07/2025 +++ Transcript Gregory DiFelice, MD So ACL reconstruction is the standard. The gold standard is what we talked about of treating ACL injury. And essentially what we do is try and trick your body into making a new ligament out of scar tissue. We take a piece from either the patellar tendon, the quad tendon, the hamstring tendon, or sometimes allograft in slightly older folks. We drill holes in the knee where the old ligament used to start and finish. And then we put that graft up inside the knee and lock it into place with a variety of tools that we use, sometimes screws or buttons. The body really doesn't know what's going on, so it just kind of freaks out and it attacks that tissue because it knows it's not supposed to be in there and it turns it into scar tissue. It's almost like vines growing up a lattice, right? As the body tries to get rid of this graft and it covers it with scar with scar tissue and eventually it can't get rid of it and it just turns it into scar tissue. So essentially what the goal of modern -day ACL reconstruction is, is to trick your body into making a new ligament out of scar tissue that uses the graft as scaffolding for the scar tissue to form upon. The trouble with that is, number one, it hurts. You become weak because we take that graft out of your muscle and your tendon and your bone, and that takes a long time to recover from. Number two, we have to drill holes in your bones, and that's not easy to recover from either. So the word we use in medicine is morbid. The surgery is rather morbid. And so in a nutshell, ACL repair is a low morbidity surgery that can allow us to create stability in your knee by saving your old ligament and giving you stability by getting it to heal rather than replacing it.