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fixing a torn acl has been of interest to the orthopedic community for decades yet a narrow indication and inconsistent results have persisted and while acl reconstruction is the best available treatment current methods are not without short and long term challenges explaining why the pursuit to heal and restore the native acl hasnamp;#39;t waned introducing bridge enhanced acl restoration bear the first fda approved technology that enables the acl to heal itself is the culmination of two pivotal discoveries in ligament science the first being that the presence of active plasmid and synovial fluids surrounding the acl causes fibrinolysis and the inability of a torn acl to form a provisional scaffold or bridge in the wound site and the second was that the acl can perform the other critical functions needed for healing to occur including cell and vessel proliferation cell migration and collagen production the combination of these two discoveries led to the development of the bare implan