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. 2016 Nov 21;4(11):2325967116672176. doi: 10.1177/2325967116672176

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© The Author(s) 2016

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 2. — Stepwise demonstration of the bridge-enhanced ACL repair (BEAR) technique using the BEAR scaffold. (A) In this technique, the torn ACL tissue is preserved. (B) A whipstitch using No. 2 Vicryl (purple) is placed into the tibial stump of the ACL. Small tunnels (4 mm) are drilled in the femur and tibia, and an Endobutton with two No. 2 Ethibond sutures (green) and the No. 2 Vicryl ACL sutures attached to it is passed through the femoral tunnel and engaged on the proximal femoral cortex. The Ethibond sutures are threaded through the BEAR scaffold, tibial tunnel, and secured in place with an extracortical button. The BEAR scaffold is then saturated with 10 mL of the patient’s blood, and (C) the tibial stump pulled up into the saturated scaffold. (D) The ends of the torn ACL then grow into the BEAR scaffold and the ligament reunites. ACL, anterior cruciate ligament.