The purpose of the Bridge Registry is to assess real-world performance of the FDA approved BEAR Implant.
This is an observational study, where the BEAR Implant will be evaluated in a real-world setting. The registry seeks to enroll consecutive uses of the BEAR Implant at participating sites. There will be a prospective cohort for all subjects scheduled to undergo ACL surgery with the BEAR Implant that are willing to provide consent. A retrospective cohort will be available for all subjects treated with a BEAR Implant at each participating site. There is no control group.
Study Type
OBSERVATIONAL
Enrollment
300
The BEAR Implant is a bovine collagen-based implant. The bovine tissue is sourced from countries that are free of bovine spongiform encephalopathy \[BSE\] and is further treated to remove bovine cell fragments and DNA. The BEAR® (Bridge Enhanced ACL Restoration) Implant is a bovine extracellular matrix collagen-based implant for treatment of anterior cruciate ligament (ACL) injuries. The BEAR® Implant is indicated for skeletally mature subjects at least 14 years of age with a complete rupture of the ACL. Subjects must have an ACL stump attached to the tibia to construct the repair.
Stanford
Redwood City, California, United States
Steamboat Orthopaedic and Spine Institute
Steamboat Springs, Colorado, United States
Advent Health
Orlando, Florida, United States
Boston Children's Hospital
International Knee Documentation Committee (IKDC) Subjective Knee Evaluation score at year 2
This is a survey patients complete about how their knee is feeling and functioning. Range is 0 to 100, with 100 indicating no problems and 0 indicating extreme problems.
Time frame: 2 Years
Knee laxity based on the Lachman test at 1 year
The Lachman will be performed during physical exam.
Time frame: 1 year
IKDC Subjective Knee Evaluation Score and Physical Exam at 6, 9 and 12 months post-surgery and according to standard of care
This is an examination performed of the knee. Scores are one of four measures: A (Normal), B (Nearly Normal), C (Abnormal) and D (Severely Abnormal). A is the best outcome and D is the worst.
Time frame: 6-12 months
Knee Injury and Osteoarthritis Outcome Score (KOOS) domains: Symptoms/Stiffness, Pain, Knee Related Quality of Life, and Knee Related Sports/Recreational Activities starting at 6, 9, 12 months and at 2 years after surgery
This is a survey with 5 subscales (Pain, Symptoms, Function in Daily Living, Function in Sport and Recreation, and Knee Related Quality of Life). The range of each subscale is 0 to 100, with 100 indicating no problems and 0 indicating extreme problems. The subscales are reported individually and not combined.
Time frame: 6 months- 2 years post surgery
Marx Activity Score at 6, 9, 12 months and at 2 years after surgery
Patients are asked to indicate approximately how many times in the past 12 months they performed each of these activities while at their healthiest and most active state. The four knee functions are rated on a 5-point scale of frequency and scores are added up to a maximum of 16 points with a higher score indicating more frequent participation.
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Boston, Massachusetts, United States
Virtua Health
Marlton, New Jersey, United States
Hospital for Special Surgery
New York, New York, United States
Victory Sports Medicine
Skaneateles, New York, United States
Duke University
Durham, North Carolina, United States
Oregon Health & Science University (OHSU)
Portland, Oregon, United States
Time frame: 6 months thru 2 years
Return to Sports Index (RSI) at 6, 9, 12 months and at 2 years after surgery
Measures the patients emotion, confidence, and risk appraisal when returning to sports after an ACL injury and/or reconstructive surgery. There are 12 questions and the subjects answer each in range is from 0 to 100. The response scale meaning is dictated by the question. The sum of all questions are reported, divided by 12,000 and multiplied by 100 to get a %.
Time frame: 6 months thru 2 years
VAS (Visual Analog Scale) Pain Score from post op through the first 12 months (approximately every 12 weeks) and at 2 years after surgery
A tool widely used to measure pain. The patient indicates his/her perceived pain intensity along a 100 mm horizontal line and this rate is then measure from the left edge to give a score.
Time frame: 1 year
Current Status Questionnaire
Elements include return to activity, pain medication use. No Score.
Time frame: 2 years
Pain Medication Use
Administered by questionnaire. No score.
Time frame: 2 years