摘要:
A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.
摘要:
A method and tool for forming a hole in a bone. The method includes bringing a bone cutting tool extending along a longitudinal axis into engagement with a cortical portion of the bone. A distal portion of the bone cutting tool is passed into the cortical portion of the bone up to a first predetermined depth to form a first bore. The bone cutting tool is then driven in the axial direction to a second predetermined depth to form a keyway portion in the first bore with a cutting tooth of the bone cutting tool. The bone cutting tool is then rotated about the longitudinal axis to form a second bore in a cancellous portion of the bone. The first bore and the second bore have a shoulder extending therebetween. The bone cutting tool is removed from the hole formed by the first and second bores in the bone.
摘要:
A method and apparatus for securing a fractured or sectioned sternum in a patient's body is disclosed. The apparatus can include an attachment member and an adjustable flexible member construct. The attachment member can have a flexible member holder. The adjustable flexible member construct can have first and second ends and a body defining at least one passage portion. The first and second ends can be passed into and through the at least one passage portion via first and second openings associated with the at least one passage portion of the adjustable flexible member construct to form a pair of loops. The attachment member can be configured to be coupled to at least one of the formed pair of loops. The adjustable flexible member construct can be positioned about the sternum and can be reduced to compress the fractured or sectioned sternum.
摘要:
A glenoid component for use in shoulder arthroplasty, the glenoid component is adapted to be implanted into a scapula and engaged by a head of a humeral component. The glenoid component has a body with a first articulating surface and a second medial surface opposite said first articulating surface. The first articulating surface adapted to be engaged by the head of the humeral component and the second medial surface is adapted to be secured to the scapula. A plurality of arcuate pegs, each of said arcuate pegs having a first end adapted to engage a cavity formed in the scapula and a second end extend from the medial surface.
摘要:
An implant assembly and associated method for selectively performing reverse and traditional arthroplasty for a shoulder joint that includes a humerus and a glenoid. The implant assembly may include a head, a cup, a humeral stem and an adaptor. The method includes inserting the humeral stem to the humerus and connecting a male taper of the adaptor to a female taper of the head. For reverse arthroplasty, the method includes attaching the adaptor to the glenoid and the cup to the stem. For traditional arthroplasty, the method includes attaching the adaptor to the humeral stem and the cup to the glenoid. The method also includes articulating the head with the cup.
摘要:
A method for suturing soft tissue in arthroscopic or endoscopic procedures. The method includes inserting a bendable steerable arm in a straightened configuration through an incision, curving the steerable arm, piercing the tissue, deploying a suture holder from a bore of the steerable arm, moving the suture holder relative to the bendable steerable arm, and suturing the tissue.
摘要:
An apparatus can include a tensioning member having a body defining a first bone engaging surface, a second opposite suture receiving surface, and an outer perimeter. First and second suture attachment members can be positioned relative to the second surface and spaced apart from each other, and can be configured to be coupled to a suture. First and second suture engaging members can extend from the second surface and can be positioned in spaced relation to the first and second suture attachment members. Rotation of the tensioning member in a first direction can selectively engage the first and second suture receiving members with the suture, thereby forming a non-linear path of travel of the suture relative to the first and second suture attachment members and suture engaging members and increasing the tension in the suture.
摘要:
A bone fixation assembly can include a suture button, a bone plate, and a suture assembly. The suture button can include a body that has a first end surface, a second end surface, and a circumferential outer surface. A first pair of passages can be formed through the body from the first end surface to the second end surface. The circumferential outer surface can include at least one protrusion or retaining rib extending radially therefrom. The bone plate defines an aperture. The suture button is configured to be at least partially received into the aperture in an assembled position such that the retaining rib engages the bone plate and inhibits withdrawal of the suture button from the aperture in the assembled position. The suture assembly includes a suture engaging member and a suture configured to couple the suture engaging member in the suture button.
摘要:
A system includes a flexible member and a tissue engaging member fixed to the flexible member. The tissue engaging member includes a barb preformed to extend rearward from a distal end of the flexible member at an acute angle relative to the flexible member.
摘要:
A method can include forming a bore in a bone of a patient and positioning a first anchor in the bore. The first anchor can have a self-locking adjustable suture construct extending therefrom that can include first and second adjustable loops. The first adjustable loop can be positioned about a first portion of the soft tissue and the second adjustable loop can be positioned about a second portion of the soft tissue different than the first portion. A coupling element carried by the second adjustable loop can be coupled to the first adjustable loop. An end of the adjustable suture construct can be tensioned to reduce a size of the first and second adjustable loops to couple the soft tissue to the bone.