About
Natural ligament healing for torn ACLs
BEAR/
The STARR and BEAR techniques are cutting-edge approaches to ACL repair. They aim to promote natural ligament healing, encouraging the body to regenerate the ligament tissue.
At A Glance
Effective
Referrals
Not Needed
Booking
Instant-book option available
Cost
Lincolnshire
£9,800
Nature of BEAR/STARR – ACL repair
BEAR (Bridge-Enhanced ACL Repair) and STARR techniques offer a modern, biological alternative to traditional ACL reconstruction. Instead of replacing the torn ligament, these procedures promote natural healing by bridging the gap between torn ACL ends using a bioengineered scaffold or sutures. The body’s own blood and cells stimulate regeneration, preserving native tissue. This approach is less invasive than graft-based surgery and may result in faster recovery, reduced pain, and a more natural joint feel.
Common causes of ACL injuries
ACL injuries typically occur due to sudden knee stress or trauma, including:
Sports injuries: Rapid pivots, stops, or direct impacts during activities like football or skiing.
Previous knee trauma: Prior injuries may weaken the ACL or surrounding structures.
Joint instability: Poor muscular support or alignment increases injury risk.
High-impact movements: Jumping or abrupt directional changes strain the ACL over time.
Diagnosis for BEAR/STARR – ACL repair
Diagnosis starts with a clinical evaluation focusing on joint stability, swelling, and difficulty with movement. Patients typically report a popping sound at the time of injury, followed by pain and knee instability. A physical exam, including the Lachman test or pivot-shift test, helps assess ligament integrity.
Imaging studies such as MRI are used to confirm a complete or partial ACL tear and evaluate tissue quality. When the ligament is freshly torn and intact enough for healing, BEAR or STARR may be recommended as a less invasive alternative to ligament reconstruction.
Suitable for
Treatment overview
The STARR and BEAR techniques are similar approaches to Anterior Cruciate Ligament (ACL) repair. They’re both non-surgical treatments that encourage the body to regrow the damaged ligament tissue.
BEAR
The BEAR technique is a slightly less invasive approach which stimulates natural ligament healing, instead of replacing it. This approach uses a collagen scaffold to bridge the gap between the torn ACL ends, encouraging healing and helping the ligament regenerate naturally.
STARR
The STARR technique is similar, but the damaged ACL is reinforced with a combination of the patient’s tissue and bioengineered scaffold. This approach aims to enhance the structural integrity of the soft tissues, to encourage durability and resilience.
Benefits
Both are minimally invasive with reduced surgical trauma
Both stimulate the body’s natural healing response
There is no need for a donor graft
Reduced arthritis risk
90%+ return to sport
How to Pay
We offer a range of flexible payment options to make your treatment experience smooth and stress-free.
Paying for Yourself
(Preferred Option)
Most patients choose to self-fund their treatment. We accept:
Bank Transfers
Credit/Debit Cards
Cash (in person only)
Instalment Plans
We’ve partnered with GoCardless to offer interest-free instalment options. You can easily set up a Direct Debit to spread the cost of your treatment over time.
Finance Options
Looking for a financing plan? You can apply through Kandoo, our trusted finance partner.
Instant online decision
No impact on your credit score
Multiple lenders for competitive rates
Private Medical Insurance (Limited Availability)
We work with a small number of approved insurance providers. However, due to restrictions from many insurers, not all treatments are covered. Please check with your insurer and speak to our team before booking to avoid disappointment.
Treatment Booking Process
01
Online booking/callUse our website to book an initial consultation, or give us a call.
02
ConsultationOur doctors might request you arrange a scan before your initial consultation. Or, they’ll chat with you (face to face or online) and recommend a scan after your initial consultation, if they think you need one.
03
TreatmentOnce your scan results have been reviewed, and your doctor has explained your options, you will be booked in for treatment.
04
RehabFollowing your treatment, your doctor will give you rehab recommendations.
05
Follow UpYou will be booked in for a follow-up consultation, so your doctor can check your progress. You might need further rehab after this consultation.
06
DischargeOnce your doctor is happy with your recovery, you will be discharged. After discharge, we are always here for further questions or support, should you need it.
Frequently Asked Questions
What is the typical recovery time for the STARR and BEAR treatments?
With either treatment, you can expect to return to normal function within 6-9 months (compared to 9-12 months for ACL reconstruction).
Those treated with STARR usually experience a quicker return to activity and reduced rates of re-injury.
How do I decide between STARR or BEAR?
Recent Articles & Medical Insights
Explore Insights
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Navigating Your ACL Repair Journey: What to Expect Before, During, and After Surgery
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Looking for Treatment in London?
We now offer select services at our Harley Street London clinic through the London Cartilage Clinic, led by internationally recognised surgeon Professor Paul Lee.
Specialist in Cartilage Repair & Joint Preservation
Our London clinic offers advanced treatments like cartilage regeneration and joint preservation to help patients avoid or delay joint replacement.
Harley Street Clinic
Located in Central London, our clinic provides convenient access to world-className musculoskeletal care without long NHS wait times.
Transparent Pricing & Direct Booking
If you would like to be seen in Central London, visit our London Clinic page for pricing, available treatments, and to book directly online.
Faster Recovery Outcomes
Our Harley Street clinic uses cutting-edge techniques designed to reduce downtime and support faster, more effective recovery, getting you back to your lifestyle sooner.
Book a free Discovery Call
Don’t wait to find relief. Whether it’s a consultation, scan, or treatment, we’re ready to help. Book a call with the admin team to discuss.
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