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BEAR ACL vs. Traditional ACL Surgery: A Real Mom’s Perspective

  • Writer: Cassie M.
    Cassie M.
  • Jun 18
  • 3 min read

When I tore my ACL the first time, I chose the BEAR (Bridge-Enhanced ACL Repair) surgery. It was newer, innovative, and best of all, didn’t require harvesting tissue from another part of my body. That sounded like a win to me—why rob Peter to pay Paul?

But now, after experiencing both the BEAR procedure and a traditional ACL reconstruction, I have some honest thoughts to share—especially for anyone balancing recovery with parenting, work, and everyday life.

BEAR ACL Recovery: Slower, Tougher, and Longer

The initial recovery process after BEAR surgery is significantly slower. For weeks, I was completely non-weight bearing. My leg was locked straight in a full-length brace, 24/7—even while sleeping. Let me tell you, there’s nothing comfortable about trying to get a good night’s rest with your leg stuck straight out.

When I was finally cleared to unlock the brace, my knee had totally forgotten how to bend. You don’t just pop back to normal. Instead, you start with baby goals: 30 degrees, then 60, then 90. It takes a long time to regain that range of motion.

And during that stretch of immobility? Major muscle atrophy. My legs were still visibly different in size 11 months post-op, right before I re-injured myself. My “good” leg (my left) carried my full weight for so long that it constantly ached and felt fatigued. I remember thinking, “I only tore one ACL, but both of my legs are suffering.”

Worst of all, I couldn’t drive for months. Being a mom of five, this was the hardest part. I felt helpless, stuck inside, unable to handle school drop-offs, grocery runs, or errands. Not being able to move freely while trying to keep a family running? Brutal.

Pain-wise, the BEAR ACL was also more painful over a longer period. Don’t get me wrong—both surgeries are painful, but I felt like the BEAR dragged on and on. The discomfort lingered far longer than I expected.

Traditional ACL Surgery: Faster to Function, More Practical for Parents

Fast forward to today: I’m just two weeks post-op from my traditional ACL surgery, and I’m already driving. (Yes, I know it's not recommended, but don’t worry—I’m staying local.) My surgeon is already encouraging me to get off crutches and transition to one, so I can start rebuilding strength.

This recovery feels faster, more functional, and overall, less emotionally taxing. I'm still sleeping in the brace. Thats just my luck since this is my second injury. I can move around my house. I can parent. And most importantly, I’m not sidelined from participating in my kids’ lives.

If You’re a Parent, Consider the Demands of Recovery

I chose BEAR initially because I liked the idea of preserving my native tissue. If you don’t have kids, or you have a rock-solid support system, it might be the right option for you.

But in hindsight—and just a couple weeks into this traditional ACL recovery—I can confidently say: I wouldn’t choose the BEAR again. The initial recovery was just too slow. It put too much strain on my body, my family, and my peace of mind.

Final Thoughts

Both surgeries come with pain. Both require patience. But if you’re a busy parent, caregiver, or anyone without the luxury of slowing down for months, the traditional ACL surgery may be a better fit.

At the end of the day, healing is personal. But I hope sharing my experience helps you weigh your options a little more clearly—especially if you’re trying to juggle recovery with real life.

 
 
 

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Cassie with Horse Bell, ACL recovery blog author
About Me

I’m a working mom, former horse trainer, and two-time ACL recovery veteran just trying to heal, stay active, and keep up with my blended family of five. ACL Again is where I share the real, unfiltered moments of recovery — with plenty of humor, ice packs, and stubborn optimism.

 

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