公开(公告)号：US07118578B2

公开(公告)日：2006-10-10

申请号：US10651671

申请日：2003-08-29

申请人： Hugh S. West, Jr. ,  John R. West

发明人： Hugh S. West, Jr. ,  John R. West

IPC分类号： A61B17/58 ,  A61B17/60 ,  A61F2/00 ,  A61F2/32 ,  A61F2/34

CPC分类号： A61F2/0805 ,  A61B17/8869 ,  Y10S606/916

摘要： Apparatus and methods for conditioning and pre-tensioning soft tissue grafts during joint repair surgery, such as during repair of the anterior cruciate ligament (ACL). The inventive apparatus is advantageously adapted and configured so as to enable a surgeon to independently apply a desired tensile load to individual graft strands or graft bundles of a multi-strand tissue graft. The inventive methods enable each graft strand or bundle to be properly tensioned so as to both “condition” the graft to prevent subsequent stretching, relaxation or elongation following surgery, which can destabilize the joint, and to pre-tension each graft strand or bundle to a predetermined amount so that each contributes to the strength and stability of the joint, thus resulting in a stronger and more durable joint. The tensioning device is advantageously equipped with structure for attachment to a patient's limb during the conditioning and pre-tensioning procedure. It has multiple adjustable tension applicators that can be independently manipulated so as to apply a separate tensile load to one or more ends of a tissue graft strand attached to each adjustable tension applicator.

摘要翻译： 用于在关节修复手术期间调节和预张紧软组织移植物的装置和方法，例如在修复前十字韧带（ACL）期间。 本发明的装置有利地适应和构造，使得外科医生能够独立地将期望的拉伸载荷施加到多股组织移植物的各个移植物束或移植物束。 本发明的方法使得每个接枝链或束能够被适当地张紧，以便“移植”移植物以防止随后的手术后的拉伸，松弛或伸长，这可能使关节不稳定，并且将每个移植物链或束预拉伸 预定量使得每个都有助于接头的强度和稳定性，从而导致更坚固和更耐用的接头。 张紧装置有利地配备有用于在调节和预张紧过程期间附接到患者肢体的结构。 它具有多个可调节的张力施加器，其可以被独立地操纵，以便将附加到每个可调张力施加器的组织移植物束的单个拉伸载荷施加到一个或多个端部。