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Patient Story · Video

A torn ACL — restored, not replaced.

Michele shares her experience with the BEAR (Bridge-Enhanced ACL Restoration) implant — a ligament-sparing technique that uses a protein-based scaffold to enable the patient's own torn ACL to heal back together, rather than being replaced with a graft.

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Transcript
Life today is pretty great. Most people have forgotten, honestly, that I went through ACL surgery. They probably forgot about six months in because of how well I was moving. My name's Michele DaSilva. I'm a healthcare director here in the New York City marketplace. I'm also really into fitness. I have received several certifications in nutrition, in quadruped movement, as well as functional training, and that's really where a lot of my personal passion lies. I was in Europe, and I was skiing in the French Alps. And I hit a pack of ice, and I fell really badly, and I felt my kneecap pop in and out. That night, my kneecap swelled up as large as my thigh. And so at that point, I knew that I was going to come to HSS. I saw Dr. Gomoll's background, and I love that, you know, he specializes specifically in knees, done a lot of like ACL surgeries, and I really wasn't sure what the MRI was going to show anyway. He walked me through everything. So I had a sprained MCL, torn ACL, and then I had a Baker's cyst. He mentioned this really cool, innovative surgery called the BEAR ACL that just got approved in 2020. And he talked about how you take the bovine from a cow, and you suture it between the two stumps, and it repairs itself. And I was really fascinated by the fact that the body can heal itself, and that I wasn't going to have to have a graft. And he said the first six weeks are going to be really critical, be really strict with the protocol, but generally people do really, really well on it. We kind of talked about just options, and he said, "You know, you could live like this if you like, but you're a really active person, and this is a new treatment where it's repairing itself, and if I was in your shoes, this is exactly something that I would do." So I made the decision. After multiple emails to him, he was wonderful because he answered all my questions directly, and then also the staff also answered questions as well. I had a pretty good experience. You know, when I got home from surgery, I was hobbling around pretty well, just on the crutches. By day eight, I actually took the subway here to his office in New York City. Every week I saw progress. My PT was fantastic. I saw him for about seven months, and I think that was really helpful because it gave me confidence about what I could do every week, and then I would work on those exercises when I would go home. I wanted a very clean diet, which meant no alcohol, high-protein diet that allowed me to have my optimal performance and allowed me to recover at the rate that I did. I'm back to most of the activities that I'm doing. I'm strength training four to five times a week, I'm doing Pilates two times a week, I'm running two times a week, I now am incorporating dance, as well as animal flow. So I'm back to all the activities that I used to do prior to surgery. HSS is the place to come if you have any type of orthopedic issue. The doctors are renowned. My experience has been fantastic. They were just so welcoming, answered so many of my questions, and just really took very good care of me.

About this story

A new approach to ACL surgery — preserve the ligament, don't replace it.

For decades the standard treatment for a complete ACL tear has been reconstruction — removing the torn ligament and replacing it with a graft taken from another tendon. The BEAR implant changes that approach for selected patients seen soon after injury.

The BEAR (Bridge-Enhanced ACL Restoration) implant is a small bovine-derived collagen scaffold mixed with the patient's own blood and placed between the two torn ends of the ACL. The scaffold supports the body's natural healing response, allowing the patient's own ACL to heal back together rather than being replaced.

Michele shares her experience with this technique performed by Dr. Gomoll. For an overview of all ACL surgery options — traditional reconstruction, BEAR, and revision ACL — see our ACL surgery page.

About the procedure

The BEAR Implant

BEAR (Bridge-Enhanced ACL Restoration) is the first FDA-approved alternative to traditional ACL reconstruction. Rather than removing the torn ACL and replacing it with a graft, the BEAR implant — a small protein scaffold mixed with the patient's own blood — is placed between the two torn ends. The scaffold supports the body's natural healing response so the patient's own ACL can knit back together. Best suited to specific tear patterns in patients seen soon after injury. More on ACL surgery options →

Read more patient stories

Hear from more of Dr. Gomoll's patients in their own words about how they got back to the lives they love.